| Rocky Mountain Behavioral Medicine, Llc | |
|
11705 Airport Way Ste 308 Broomfield CO 80021-2711 | |
| (720) 633-9693 | |
| (720) 386-1086 |
| Full Name | Rocky Mountain Behavioral Medicine, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11705 Airport Way Ste 308, Broomfield, Colorado |
| Authorized Official Name and Position | Kendra Sherwood (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7206339693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Behavioral Medicine, Llc 11705 Airport Way Ste 308 Broomfield CO 80021-2711 Ph: (720) 633-9693 | Rocky Mountain Behavioral Medicine, Llc 11705 Airport Way Ste 308 Broomfield CO 80021-2711 Ph: (720) 633-9693 |
| NPI Number | 1225409618 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Medicare PECOS PAC ID | 5890079073 |
|---|---|
| Medicare Enrollment ID | O20170307002628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225409618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4272 (Colorado) | Primary |
| Provider Name | Kendra Sherwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225363096 PECOS PAC ID: 4284918368 Enrollment ID: I20170309001736 |
| Provider Name | Kara Stocker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245542448 PECOS PAC ID: 0143504241 Enrollment ID: I20170309002415 |
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