National Mental Health Management, Llc | |
4704 Harlan St Ste 103 Wheat Ridge CO 80212-7411 | |
(303) 941-6936 | |
Not Available |
Full Name | National Mental Health Management, Llc |
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Speciality | Psychiatry & Neurology |
Location | 4704 Harlan St Ste 103, Wheat Ridge, Colorado |
Authorized Official Name and Position | Ana Brodka (OWNER) |
Authorized Official Contact | 7203102773 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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National Mental Health Management, Llc 4155 E Jewell Ave Ste 500 Denver CO 80222-4509 Ph: (720) 310-2773 | National Mental Health Management, Llc 4704 Harlan St Ste 103 Wheat Ridge CO 80212-7411 Ph: (303) 941-6936 |
NPI Number | 1306472568 |
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Provider Enumeration Date | 03/19/2020 |
Last Update Date | 05/15/2024 |
Certification Date | 05/15/2024 |
Medicare PECOS PAC ID | 4688005481 |
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Medicare Enrollment ID | O20200512000511 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306472568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
Provider Name | Meghan Lee Dow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518474147 PECOS PAC ID: 8022371079 Enrollment ID: I20180404002380 |
Provider Name | Andrew James Nagy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114470465 PECOS PAC ID: 3779866520 Enrollment ID: I20190812001233 |
Provider Name | Jeanna Lee Dietz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295376416 PECOS PAC ID: 4284966763 Enrollment ID: I20191102000139 |
Provider Name | James Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427348929 PECOS PAC ID: 7214274497 Enrollment ID: I20200512000666 |
Provider Name | Mary Beth Hutchinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245203223 PECOS PAC ID: 2163436486 Enrollment ID: I20210414002213 |
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