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7535 E Hampden Ave # 407 Denver CO 80231-4838 | |
| (303) 578-2702 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 7535 E Hampden Ave # 407, Denver, Colorado |
| Authorized Official Name and Position | Erin Scraper (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3035782702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2205 W 136th Ave # 106-146 Broomfield CO 80023-9306 Ph: (303) 578-2702 | 7535 E Hampden Ave # 407 Denver CO 80231-4838 Ph: (303) 578-2702 |
| NPI Number | 1861188955 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 12/27/2024 |
| Medicare PECOS PAC ID | 4789033408 |
|---|---|
| Medicare Enrollment ID | O20231206004038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861188955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jeanette A Waxmonsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194812248 PECOS PAC ID: 6709855216 Enrollment ID: I20040930001135 |
| Provider Name | Matthew C Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255761110 PECOS PAC ID: 0143458349 Enrollment ID: I20140115001442 |
| Provider Name | Thomas Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093756074 PECOS PAC ID: 2860412426 Enrollment ID: I20231206004185 |
| Provider Name | Sherry Cooper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245518695 PECOS PAC ID: 4789127424 Enrollment ID: I20240621002712 |
| Provider Name | Gianna Gariglietti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730104688 PECOS PAC ID: 0547527509 Enrollment ID: I20240731002181 |
| Provider Name | Meggean Marie Boisvert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790383917 PECOS PAC ID: 3870031982 Enrollment ID: I20240820001081 |
| Provider Name | Cary C Truley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275189748 PECOS PAC ID: 9032657085 Enrollment ID: I20240821002374 |
| Provider Name | Lisa L Billings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396035093 PECOS PAC ID: 8527508423 Enrollment ID: I20240905004870 |
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