| Optum Behavioral Care Of Colorado, P.c. | |
|
1307 N 45th St Ste 200 Seattle WA 98103-6741 | |
| (704) 506-6267 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Colorado, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1307 N 45th St Ste 200, Seattle, Washington |
| Authorized Official Name and Position | Leslie Johnson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Colorado, P.c. 67 Burnside Ave East Hartford CT 06108-3408 Ph: (704) 506-6267 | Optum Behavioral Care Of Colorado, P.c. 1307 N 45th St Ste 200 Seattle WA 98103-6741 Ph: (704) 506-6267 |
| NPI Number | 1114797545 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 0941648463 |
|---|---|
| Medicare Enrollment ID | O20241017002871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114797545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brendan J Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215994710 PECOS PAC ID: 7810080900 Enrollment ID: I20070905000743 |
| Provider Name | Leslie A Savage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831195486 PECOS PAC ID: 8921191933 Enrollment ID: I20070907000244 |
| Provider Name | Julie A Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205899614 PECOS PAC ID: 6204905011 Enrollment ID: I20080520000536 |
| Provider Name | Lisa Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790056554 PECOS PAC ID: 9537321229 Enrollment ID: I20120425000274 |
| Provider Name | Jarim Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003195819 PECOS PAC ID: 9931476686 Enrollment ID: I20170530002562 |
| Provider Name | Caitlin Rippey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891182770 PECOS PAC ID: 0547576712 Enrollment ID: I20190709001263 |
| Provider Name | Gregory Vaughn Deklever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285286500 PECOS PAC ID: 7810301512 Enrollment ID: I20210120001500 |
| Provider Name | Laurie Strom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841546801 PECOS PAC ID: 3375901705 Enrollment ID: I20230616001762 |
| Provider Name | Katie Marie Ladenburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457893877 PECOS PAC ID: 1153789243 Enrollment ID: I20230622000332 |
| Provider Name | Tom Freeman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619302916 PECOS PAC ID: 8224488218 Enrollment ID: I20240103003034 |
| Provider Name | Timothy David Jenkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235347014 PECOS PAC ID: 5496106049 Enrollment ID: I20240108004120 |
| Provider Name | Heather Raye Carstens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104881135 PECOS PAC ID: 1254774060 Enrollment ID: I20240208003096 |
| Provider Name | Francine Ellen Hagglund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396018560 PECOS PAC ID: 5496198988 Enrollment ID: I20240212003879 |
| Provider Name | Iris Sin Le |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114322443 PECOS PAC ID: 7214469964 Enrollment ID: I20241018001795 |
| Provider Name | Ellen Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255075115 PECOS PAC ID: 5496288631 Enrollment ID: I20241028000859 |
| Provider Name | Ashlee-josephine Blount |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134698319 PECOS PAC ID: 9032642137 Enrollment ID: I20241028003788 |
| Provider Name | Sophie Edelman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558007310 PECOS PAC ID: 1153854708 Enrollment ID: I20241104003204 |
| Provider Name | Amy Lunde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326684754 PECOS PAC ID: 6608300124 Enrollment ID: I20241106003023 |
| Provider Name | Emily Hoegberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891039335 PECOS PAC ID: 2567996028 Enrollment ID: I20241107000275 |
| Provider Name | Amy Lynn Damore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346795473 PECOS PAC ID: 6901192798 Enrollment ID: I20241107003673 |
| Provider Name | Keenan Kriner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528703873 PECOS PAC ID: 5799219150 Enrollment ID: I20241108000158 |
| Provider Name | Jessica Vornbrock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518131705 PECOS PAC ID: 3870027063 Enrollment ID: I20241111002422 |
| Provider Name | Lauren Wagendorf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821533035 PECOS PAC ID: 6800320003 Enrollment ID: I20241111002760 |
| Provider Name | Katie Schmitz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184016883 PECOS PAC ID: 8224562202 Enrollment ID: I20241113003006 |
| Provider Name | Roberta Howell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174643720 PECOS PAC ID: 6406381961 Enrollment ID: I20241121001600 |
| Provider Name | Catherine Murray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235305004 PECOS PAC ID: 0749715001 Enrollment ID: I20241122002110 |
| Provider Name | Melissa Karen Hyman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568946713 PECOS PAC ID: 0244765550 Enrollment ID: I20241123000057 |
| Provider Name | Cami Lynn Kaltbrunner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548409881 PECOS PAC ID: 1355876293 Enrollment ID: I20241202000583 |
| Provider Name | Angelica De Anda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598051583 PECOS PAC ID: 4789119504 Enrollment ID: I20241203000362 |
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