Dr David Gage Mirich, PHD is a
Marriage & Family Therapist based in Wheat Ridge, Colorado. Dr David Gage Mirich is licensed to practice in Colorado (license number 2679) and his current practice location is
2860 Ames St, Wheat Ridge, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 824-0132.
NPI number for Dr David Gage Mirich is 1326190083 and his current mailing address is 2860 Ames St, Wheat Ridge, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326190083.
Healthcare Provider's Profile
| Full Name | Dr David Gage Mirich |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 2860 Ames St, Wheat Ridge, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326190083
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr David Gage Mirich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326190083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 2679 (Colorado) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 2679 (Colorado) | Primary |
| 103TC0700X | Psychologist - Clinical | 2679 (Colorado) | Primary |
| 103TF0200X | Psychologist - Forensic | 2679 (Colorado) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 2679 (Colorado) | Primary |
| 103T00000X | Psychologist | 2679 (Colorado) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | 2679 (Colorado) | Primary |
| 103TS0200X | Psychologist - School | 2679 (Colorado) | Primary |
| 106H00000X | Marriage & Family Therapist | 2679 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Gage Mirich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr David Gage Mirich, PHD
2860 Ames St,
Wheat Ridge, CO 80214-8520
Ph: (303) 824-0132 | Dr David Gage Mirich, PHD
2860 Ames St,
Wheat Ridge, CO 80214-8520
Ph: (303) 824-0132 |
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