I HAVE A DREAM FOUNDATION - COLORADO (NPI# 1174099857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174099857 |
| Entity Type | Organization |
| Organization Name | I HAVE A DREAM FOUNDATION - COLORADO |
| Practice Address |
Strive Prep - Ruby Hill 2626 W. Evans Ave Denver CO 80219 |
| Mailing Address |
1836 Grant St Denver CO 80203 |
| Practice Telephone | 3038615005 |
| Mailing Telephone | 3038615005 |
| Mailing Fax Number | 3038615008 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | RACHAEL GAZDICK (PRESIDENT & CEO) |
| Authorized Official Telephone | 3038615005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Colorado I Have A Dream Foundation | Doing Business As Name - Organization |
| Street Address |
STRIVE PREP - RUBY HILL 2626 W. EVANS AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632239 | Iora Health Colorado, P.C. | Internal Medicine | 730 S Federal Blvd, Denver, CO 80219 | 2020-06-03 |
| 1326534892 | Natalie Gates | Lactation Consultant, Non-RN | 2690 S King St, Denver, CO 80219 | 2018-07-07 |
| 1447776604 | James Cheang | Pharmacist | 557 Burbank St., Suite Q, Broomfield, CO 80219 | 2017-08-19 |
| 1447784954 | Richelle Shimek | Speech-Language Pathologist | 3105 W. Arkansas Ave, Denver, CO 80219 | 2017-04-12 |
| 1760888259 | Leslie Seger | Registered Nurse | 2049 S Julian Circle, Denver, CO 80219 | 2014-11-10 |
| 1134534449 | Genesis Rehabilitation | Skilled Nursing Facility | 3105 West Arkansas Avenue, Denver, CO 80219 | 2014-06-25 |
| 1043644347 | Michelle Rose Shiffman | Pediatrics | Federico Pena Southwest Family Health Center, 1339 S. Federal Blvd, Denver, CO 80219 | 2013-08-23 |
| 1750724761 | Myhao Pham | Pharmacist | 5125 W Florida, Denver, CO 80219 | 2013-04-09 |
| 1992043012 | Nathan Alan Peterson | Chiropractor | 50 S. Federal Blvd, Denver, CO 80219 | 2013-01-24 |
| 1659671683 | Altruistic Home Care LLC | Home Health Aide | 1699 S. Federal Blvd., Denver, CO 80219 | 2010-10-25 |
| Find all providers in zip 80219 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942610258 | Stephanie Miller | Psychologist | 150 W 9th Ave Unit 2115, Denver, CO 80204-4045 | 2014-05-08 |
| 1306150727 | Nancy Gary | Psychologist | 5290 E Yale Cir Ste 207, Denver, CO 80222-6933 | 2010-07-27 |
| 1730322728 | Meredith Cerian Jones | Psychologist | University of Denver Child and Family Clinic, Frontier Hall, 2155 S. Race St., Denver, CO 80208-0001 | 2009-04-07 |
| 1629225057 | Brian C Wolff | Psychologist | 3433 W 38th Ave, Denver, CO 80211-1911 | 2008-08-27 |
| 1770709453 | Donald L Klein | Psychologist | 2 Garvin Rd, Denver, PA 17517-9407 | 2007-04-18 |
| 1275641391 | Susan Shamos | Psychologist | 1980 Dahlia St, Denver, CO 80220-1239 | 2006-08-28 |
| 1407473838 | Jeff Burton Boscoe-huffman | Psychologist | 673 N Grant St, Denver, CO 80203-3506 | 2020-07-01 |
| 1427601764 | Allison Meyer | Psychologist | 940 Fillmore St, Denver, CO 80206-3852 | 2019-07-16 |
| 1144794215 | Alexandra Maria Branagan | Psychologist | 777 Bannock St, Denver, CO 80204-4507 | 2019-01-11 |
| 1285113803 | Sara J Hills | Psychologist | 777 Bannock St # Mc3240, Denver, CO 80204-4507 | 2018-08-14 |
| Find all providers in DENVER | ||||
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| 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.