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5340 S Quebec St # 230s Greenwood Village CO 80111-1909 | |
| (509) 385-4800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 5340 S Quebec St # 230s, Greenwood Village, Colorado |
| Authorized Official Name and Position | Sam Peterson (CEO) |
| Authorized Official Contact | 5093854800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5340 S Quebec St # 230s Greenwood Village CO 80111-1909 Ph: (509) 385-4800 | 5340 S Quebec St # 230s Greenwood Village CO 80111-1909 Ph: (509) 385-4800 |
| NPI Number | 1295408789 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 9032507926 |
|---|---|
| Medicare Enrollment ID | O20211026002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295408789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Daniel J Abrams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780732214 PECOS PAC ID: 4789750241 Enrollment ID: I20080906000064 |
| Provider Name | Eric Daniel French |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184007098 PECOS PAC ID: 1850624321 Enrollment ID: I20190615000118 |
| Provider Name | Joseph A'kos Horvath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568858629 PECOS PAC ID: 1951666262 Enrollment ID: I20190924003565 |
| Provider Name | Brigitte Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063088003 PECOS PAC ID: 7810398229 Enrollment ID: I20210623000896 |
| Provider Name | Kylie Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356168686 PECOS PAC ID: 5890229645 Enrollment ID: I20241115001379 |
| Provider Name | Veronica L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326455635 PECOS PAC ID: 7810118882 Enrollment ID: I20241127000009 |
| Provider Name | Nicholas Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689435000 PECOS PAC ID: 5991231706 Enrollment ID: I20241203004348 |
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