Outlast Psych Llc | |
16350 E Arapahoe Rd Ste 108-315 Foxfield CO 80016-1557 | |
(888) 588-2417 | |
(720) 367-5067 |
Full Name | Outlast Psych Llc |
---|---|
Speciality | Nurse Practitioner |
Location | 16350 E Arapahoe Rd Ste 108-315, Foxfield, Colorado |
Authorized Official Name and Position | Christina N Maltese (COO) |
Authorized Official Contact | 7203553299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Outlast Psych Llc 16350 E Arapahoe Rd Ste 108-315 Foxfield CO 80016-1557 Ph: (888) 588-2417 | Outlast Psych Llc 16350 E Arapahoe Rd Ste 108-315 Foxfield CO 80016-1557 Ph: (888) 588-2417 |
NPI Number | 1811641343 |
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Provider Enumeration Date | 02/03/2022 |
Last Update Date | 03/09/2022 |
Certification Date | 03/09/2022 |
Medicare PECOS PAC ID | 3779959945 |
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Medicare Enrollment ID | O20221013002261 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811641343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Michael Chism |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154780757 PECOS PAC ID: 0941540561 Enrollment ID: I20190403001734 |
Provider Name | Kelly Cubley Kilcrease |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912359050 PECOS PAC ID: 7416241245 Enrollment ID: I20200713003696 |
Provider Name | Letitia Osei Sam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346833852 PECOS PAC ID: 1254749294 Enrollment ID: I20210413000460 |
Provider Name | Lindsey Amanda Dempster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306561352 PECOS PAC ID: 8426426735 Enrollment ID: I20221117001454 |
Provider Name | Amy Diamond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144696899 PECOS PAC ID: 3274902192 Enrollment ID: I20221215000057 |
Provider Name | Shanna Haydu Bowman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780360065 PECOS PAC ID: 5496115628 Enrollment ID: I20230719001044 |
Provider Name | Amy L Card |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497488654 PECOS PAC ID: 6305227018 Enrollment ID: I20230905000680 |
Provider Name | Sarah Paryga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588163554 PECOS PAC ID: 1850746488 Enrollment ID: I20231017001075 |
Provider Name | Maryjane Guerrero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689254237 PECOS PAC ID: 2769891605 Enrollment ID: I20231027000045 |
Provider Name | Brennan Phillip David Lehotay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689121394 PECOS PAC ID: 1355715558 Enrollment ID: I20240221003144 |
Provider Name | Jeffrey Byrne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477314201 PECOS PAC ID: 3779928700 Enrollment ID: I20240229003364 |
Provider Name | Jannet Li Harkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962010272 PECOS PAC ID: 9931511078 Enrollment ID: I20240304001507 |
Provider Name | Kristen Vianey Dale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588158042 PECOS PAC ID: 6507118072 Enrollment ID: I20240315002258 |
Provider Name | Natasha Issa Deebes-howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639881261 PECOS PAC ID: 0143663351 Enrollment ID: I20240408001291 |
Provider Name | Catherine Onyeari Nwora |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861022402 PECOS PAC ID: 5496163529 Enrollment ID: I20240411000664 |
Provider Name | Joycy Puthenpurackal Pranabdev |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194429829 PECOS PAC ID: 0446607873 Enrollment ID: I20240502001280 |
Provider Name | Angela Karmen Lang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972369262 PECOS PAC ID: 4183064215 Enrollment ID: I20240506003704 |
Provider Name | Amanda Jayaraman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568964997 PECOS PAC ID: 2365705969 Enrollment ID: I20240510000019 |
Butterfly Children Psychiatry Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16350 E Arapahoe Rd Ste 108-315, Foxfield, CO 80016 Phone: 888-770-0958 Fax: 720-367-5067 | |
Enrichment Psychiatry Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16350 E Arapahoe Rd Ste 108-315, Foxfield, CO 80016 Phone: 888-880-2852 Fax: 720-367-5067 |