Psyche Pc | |
1120 N Lincoln St Ste 1601 Denver CO 80203-2141 | |
(720) 432-9865 | |
(720) 528-8042 |
Full Name | Psyche Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1120 N Lincoln St Ste 1601, Denver, Colorado |
Authorized Official Name and Position | Jeffrey Richmond (OWNER) |
Authorized Official Contact | 7204329865 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Psyche Pc 1120 N Lincoln St Ste 1601 Denver CO 80203-2141 Ph: (720) 432-9865 | Psyche Pc 1120 N Lincoln St Ste 1601 Denver CO 80203-2141 Ph: (720) 432-9865 |
NPI Number | 1801325931 |
---|---|
Provider Enumeration Date | 06/12/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 3971872888 |
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Medicare Enrollment ID | O20170710001187 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801325931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Jeffrey Richmond |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831414507 PECOS PAC ID: 4981855483 Enrollment ID: I20170710001333 |
Provider Name | Laira E Cowper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629694674 PECOS PAC ID: 6305243296 Enrollment ID: I20210920002102 |
Provider Name | Mary Beatrice Ohara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124674148 PECOS PAC ID: 6103156831 Enrollment ID: I20211102002339 |
Provider Name | Emily Carol Mccollum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972270916 PECOS PAC ID: 6002290327 Enrollment ID: I20220905000089 |
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