DR. GWENDOLYN GREGORY GRACE


Address: 75 Manhattan Dr, Suite 204, Boulder, CO 80303-4254
Phone: 3035698858

DR. GWENDOLYN GREGORY GRACE (NPI# 1194925594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194925594
Entity Type Individual
Full Name DR. GWENDOLYN GREGORY GRACE
Other Name DR. GWENDOLYN GREGORY GREER
Credential M.D.
Practice Address 75 Manhattan Dr
Suite 204
Boulder
CO 80303-4254
Practice Telephone 3035698858
Practice Fax Number 3036479214
Mailing Telephone 3035698858
Mailing Fax Number 3036479214
Enumeration Date 2007-07-23
Last Update Date 2014-08-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
DR.47860 CO Allopathic & Osteopathic Physicians

Office Location

Street Address 75 MANHATTAN DR
SUITE 204
City BOULDER
State CO
Zip Code 80303-4254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275580342 Red Dragon Chiropractic and Acupuncture Inc Chiropractor 75 Manhattan Dr, Boulder, CO 80303-4254 2006-05-27
1659812774 Well Woman Acupuncture, LLC Acupuncturist 75 Manhattan Dr, Suite 106, Boulder, CO 80303-4254 2017-03-09
1588047435 Amy Philip Massage Therapist 75 Manhattan Dr, Suite 302, Boulder, CO 80303-4254 2015-07-09
1164729349 Laurel Christa Mulholland Social Worker 75 Manhattan Dr, Suite 208, Boulder, CO 80303-4254 2011-02-23
1942514427 Zoe Zimmermann Counselor 75 Manhattan Dr, Suite 206, Boulder, CO 80303-4254 2010-07-27
1619291416 Maurieke D. Shyelle Internal Medicine 75 Manhattan Dr, Suite 4, Boulder, CO 80303-4254 2010-03-23
1902045172 Robin Lynn Goldstein-lincoln Counselor 75 Manhattan Dr, Suite 4, Boulder, CO 80303-4254 2009-02-11
1619115417 Robin Goldstein-lincoln, LLC Counselor 75 Manhattan Dr, Suite 4, Boulder, CO 80303-4254 2009-02-02
1467698688 Lodi Siefer Counselor 75 Manhattan Dr, Suite 206, Boulder, CO 80303-4254 2008-12-17
1477709954 Robin Alyse Kleisler Counselor 75 Manhattan Dr, Suite 208, Boulder, CO 80303-4254 2008-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821583725 Ariel Meyers Physical Therapist Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 2018-06-25
1831683838 Sandra Ramsey Occupational Therapist 350 Ponca, Boulder, CO 80303 2018-06-22
1770085243 Laura Michelle Boucher Physical Medicine & Rehabilitation 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 2018-03-01
1396255568 Colorado Sports Chiropractic Chiropractor 1440 28th St Ste 2, Boulder, CO 80303 2017-10-02
1932618782 Michele Adrienne Packard Psychologist 4410 Arapahoe Suite 140, Boulder, CO 80303 2017-09-25
1134505290 Bili Blanket Baby, LLC Durable Medical Equipment & Medical Supplies 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 2015-07-30
1710378146 Jonathan Gardiner Lears Counselor 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 2015-02-06
1114316965 Northstar Transitions Substance Abuse Rehabilitation Facility 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 2015-01-16
1902226434 Integrated Dermatology of Boulder, Pllc Dermatology 2935 Baseline Road, Suite 201, Boulder, CO 80303 2014-04-23
1396160081 Melissa Rupert Physical Therapist 975 Waite Drive, Boulder, CO 80303 2014-03-04
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285029421 Sabrina Renteria Psychiatry & Neurology 1641 Yarmouth Ave, Boulder, CO 80304 2015-04-04
1154755379 Geoffrey B Heron, M.d., P.C. Psychiatry & Neurology 2500 - 30th Street, Suite 302, Boulder, CO 80301-1239 2013-08-23
1104195817 David Rosenthal Psychiatry & Neurology 880 Union Ave, Boulder, CO 80304-0709 2011-12-26
1578883518 Gerald Marvin Dank Psychiatry & Neurology 3788 Spring Valley Rd, Boulder, CO 80304-1050 2010-06-01
1992036834 Colorado Psychiatric Associataes, PC Psychiatry & Neurology 2501 Walnut St Ste 203, Boulder, CO 80302-5753 2010-01-15
1841424603 Darrick Gary May Psychiatry & Neurology 1722 14th St Ste 150, Boulder, CO 80302-6334 2009-05-08
1639328321 Gerald Chitters Md Pllc Psychiatry & Neurology 954 North St Ste 302, Boulder, CO 80304-3307 2008-09-17
1700075892 Michael A. Zona Psychiatry & Neurology 6654 Gunpark Drive, #101, Boulder, CO 80301 2007-10-15
1356550131 Joel Gregory Winner Psychiatry & Neurology 2595 Canyon Blvd, Suite 100, Boulder, CO 80302-6745 2007-05-21
1881713675 Donald A. Misch Psychiatry & Neurology 1240 Pine St, Suite 213, Boulder, CO 80302-4809 2007-03-29
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Competitor

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City BOULDER
Zip Code 80303

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Dataset Information

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.

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