KETAMINE TREATMENT CENTERS OF DENVER PLLC (NPI# 1255838348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255838348 |
| Entity Type | Organization |
| Organization Name | KETAMINE TREATMENT CENTERS OF DENVER PLLC |
| Other Organization Name | ACTIFY NEUROTHERAPIES |
| Practice Address |
1355 S Colorado Blvd # C-304 Denver CO 80222-3305 |
| Mailing Address |
800 Bunn Dr Ste 304 Princeton NJ 08540-1968 |
| Practice Telephone | 8885668774 |
| Mailing Telephone | 6096514429 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | STEVEN LEVINE (MANAGING MEMBER) |
| Authorized Official Telephone | 6096514429 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Actify Neurotherapies | Doing Business As Name - Organization |
| Street Address |
1355 S COLORADO BLVD # C-304 |
| City | DENVER |
| State | CO |
| Zip Code | 80222-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625389 | Vi-thuy Vo | Student in an Organized Health Care Education/Training Program | 4141 E Dickenson Pl # 264b, Denver, CO 80222 | 2019-08-19 |
| 1255827143 | Megan Whitehead | Nurse Practitioner | 2696 S Colorado Blvd Ste 110, Denver, CO 80222 | 2018-07-03 |
| 1255859732 | Kathleen Goldman | Occupational Therapist | 6343 E Girard Place, Unit 442, Denver, CO 80222 | 2017-09-05 |
| 1891213435 | Caron Cottman | Counselor | Maria Droste Counseling Center 1355 S Colorado Blvd., Denver, CO 80222 | 2017-09-04 |
| 1154846939 | Colorado Pain Practice, Pllc | Anesthesiology | 2696 S Colorado Blvd Ste 100, Denver, CO 80222 | 2017-08-14 |
| 1831610021 | Danielle V Jones | Counselor | 4141 E. Dickerson Place, Denver, CO 80222 | 2017-06-28 |
| 1629508247 | Capable Conversations, LLC | Speech-Language Pathologist | 3451 S Elm Street, Denver, CO 80222 | 2017-06-15 |
| 1235672031 | Julie Reichenberger, Ma, Lpc, Pllc | Counselor | 1780 South Bellaire Street, Suite 485, Denver, CO 80222 | 2016-11-28 |
| 1346797925 | Encompass Home Health of Colorado, LLC | Hospice Care, Community Based | 1355 S Colorado Blvd Ste 604, Denver, CO 80222 | 2016-09-01 |
| 1124574363 | Shannon Barfield | Case Manager/Care Coordinator | Mental Health Center of Denver 4141 E. Dickenson Pl, Denver, CO 80222 | 2016-08-28 |
| Find all providers in zip 80222 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786445 | Eating Recovery Center | Psychiatry & Neurology | 8140 E. 5th Ave, Denver, CO 80230 | 2020-09-25 |
| 1023639929 | Lcl Wellness, LLC | Psychiatry & Neurology | 7550 W Yale Ave Ste A155, Denver, CO 80227-3487 | 2020-05-01 |
| 1164861670 | John S. Graves, M.d., P.C. | Psychiatry & Neurology | 4770 E Iliff Ave. #228, Denver, CO 80222 | 2013-06-18 |
| 1932544723 | Callie Deann Montez | Psychiatry & Neurology | 425 S Cherry St Ste 620, Denver, CO 80246-1233 | 2013-05-07 |
| 1407113087 | Joshua Andrew Evans | Psychiatry & Neurology | 950 S Cherry St Ste 420, Denver, CO 80246-2664 | 2012-04-19 |
| 1790041143 | Akos Mersich | Psychiatry & Neurology | 4900 E Cherry Creek South Dr Ste E, Denver, CO 80246-2283 | 2012-04-10 |
| 1194098103 | Peter Mayerson | Psychiatry & Neurology | 2000 Little Raven St., #999, Denver, CO 80202-6199 | 2012-02-22 |
| 1699067603 | Cecile Audrey Mauge | Psychiatry & Neurology | 2611 Ivy St, Denver, CO 80207-3414 | 2011-05-09 |
| 1477858280 | Kristi L Cassleman | Psychiatry & Neurology | 7900 E 1st Ave Ste 200, Denver, CO 80230-7204 | 2011-01-26 |
| 1548566383 | Theodore S Wirecki Md PC | Psychiatry & Neurology | 4770 E Iliff Ave Ste 226, Denver, CO 80222-6000 | 2011-01-26 |
| 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.