DENVER WELLNESS ASSOCIATES (NPI# 1144707878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144707878 |
| Entity Type | Organization |
| Organization Name | DENVER WELLNESS ASSOCIATES |
| Practice Address |
300 S Jackson St Ste 240 Denver CO 80209-3131 |
| Practice Telephone | 7207243668 |
| Practice Fax Number | 3032659839 |
| Mailing Telephone | 7207243668 |
| Mailing Fax Number | 3032659839 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | DR. JEANNE THEOBALD (OWNER/PRACTICE MANAGER/MD) |
| Authorized Official Telephone | 3037098235 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
52028 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1972822609 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Denver Wellness Associates | 300 S Jackson St, Suite 240, Denver, CO 80209 |
| Street Address |
300 S JACKSON ST STE 240 |
| City | DENVER |
| State | CO |
| Zip Code | 80209-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1699382846 | Ava Graszl | Physician Assistant | 300 S Jackson St Ste 240, Denver, CO 80209-3131 | 2020-09-30 |
| 1245867605 | Samantha Euny Tengberg | Physician Assistant | 300 S Jackson St Ste 240, Denver, CO 80209-3131 | 2020-03-25 |
| 1528615937 | Paige Idziur | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209-3131 | 2019-08-20 |
| 1225690779 | Weichen Chen | Nurse Practitioner | 300 S Jackson St Ste 240, Denver, CO 80209-3131 | 2019-07-05 |
| 1386100774 | Judith Lynn Kwedar | Nurse Practitioner | 300 S Jackson St Ste 240, Denver, CO 80209-3131 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841817400 | Wesley Stanton | Dentist | 3773 Cherry Creek Drive N, Denver, CO 80209 | 2020-06-30 |
| 1619452489 | Open and Affordable Dental Cherry Creek Pllc | Dentist | 3773 Cherry Creek Dr, Unit 120, Denver, CO 80209 | 2018-09-27 |
| 1952894842 | Anna Rose Schwartz | Dietitian, Registered | 155 S. Madison St. Suite 328, Denver, CO 80209 | 2018-06-14 |
| 1912442542 | Neil David Wright | Counselor | 121 S Madison St Ste C, Denver, CO 80209 | 2017-01-05 |
| 1336681287 | Brianne Wiese | Counselor | 359 E Bayaud Ave # 106, Denver, CO 80209 | 2016-11-09 |
| 1275910671 | Sarah Ashley Robbins | Family Medicine | 360 S Garfield St Ste 500, Denver, CO 80209 | 2015-05-05 |
| 1871992404 | Egert-kreider Dental | Dentist | 3955 E. Expostition Ave, Suite 312, Denver, CO 80209 | 2014-08-20 |
| 1811309164 | Aurora G. Burluc D.d.s, PC | Dentist | 3773 Cherry Creek Dr. North, #120, Denver, CO 80209 | 2014-05-21 |
| 1770995110 | Elizabeth Gateley | Counselor | 50 S Steele St Ste 435, Denver, CO 80209 | 2014-05-20 |
| 1013346709 | Diana Lynn Hersh | Social Worker | 230 So. Washington St., Denver, CO 80209 | 2013-11-04 |
| Find all providers in zip 80209 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1205254182 | Elizabeth Fenstermacher | Psychiatry & Neurology | 777 Bannock St Dept Of, Denver, CO 80204-4507 | 2014-03-28 |
| 1467725333 | Gordon King Farley | Psychiatry & Neurology | 12015 E 46th Ave Ste 500, Denver, CO 80239-3133 | 2012-02-22 |
| 1356500292 | Susan Mary Vanscoyk-simon | Psychiatry & Neurology | 1616 17th Street Suite 578, Denver, CO 80202 | 2008-06-05 |
| 1114118742 | Adam S Burstein | Psychiatry & Neurology | 1731 E 16th Ave, Denver, CO 80218-1628 | 2007-08-08 |
| 1336355130 | Sascha Arbouet | Psychiatry & Neurology | 660 Bannock St Fl 5, Denver, CO 80204 | 2007-05-16 |
| 1700938990 | Mira Eklund | Psychiatry & Neurology | 455 Acoma St, Denver, CO 80204-5112 | 2007-01-17 |
| 1356409064 | Robert Lee Hernandez | Psychiatry & Neurology | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2006-12-05 |
| 1538244272 | Carolyn F. Munro | Psychiatry & Neurology | 4100 E Mississippi Ave Ste 600, Denver, CO 80246-3054 | 2006-10-25 |
| 1518479799 | Donna Vishnevetsky Md LLC | Psychiatry & Neurology | 3801 E Florida Ave, Denver, CO 80210-2571 | 2017-10-28 |
| Find all providers in DENVER | ||||
Please comment or provide details below to improve the information on DENVER WELLNESS ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.