URBAN PEAKS REHAB, LLC (NPI# 1376024968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376024968 |
| Entity Type | Organization |
| Organization Name | URBAN PEAKS REHAB, LLC |
| Other Organization Name | URBAN PEAKS REHAB |
| Practice Address |
1490 N Lafayette St Denver CO 80218-2339 |
| Practice Telephone | 3039555131 |
| Practice Fax Number | 3039555181 |
| Mailing Telephone | 3039555131 |
| Mailing Fax Number | 3039555181 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | DR. CHAD R JOHNSTON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3039555131 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Urban Peaks Rehab | Doing Business As Name - Organization |
| Street Address |
1490 N LAFAYETTE ST |
| City | DENVER |
| State | CO |
| Zip Code | 80218-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694981 | Marissa Bodner | Social Worker | 1490 N Lafayette St, Suite 108, Denver, CO 80218-2391 | 2020-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184863631 | Pradeep Rai | Internal Medicine | 1850 Race St, Denver, CO 80206 | 2009-02-06 |
| 1770798449 | William Bryson Swafford | Internal Medicine | 1827 Gaylord St, Denver, CO 80206-1210 | 2007-05-14 |
| 1891822854 | Allan W Graham | Internal Medicine | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831211069 | Franck Armand Belibi | Internal Medicine | 3191 S Vaughn Way, Suite 101, Aurora, CO 80014-3538 | 2007-04-06 |
| 1679059687 | Bupdoc LLC | Internal Medicine | 3220 N Academy Blvd Ste 3, Colorado Springs, CO 80917-5115 | 2018-07-12 |
| 1790190288 | Rocky Mountain Treatment Svcs Prof | Internal Medicine | 2928 W 10th St, Suite 102, Greeley, CO 80634-5426 | 2014-06-24 |
| 1639412414 | Reem M Hanna | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-03-31 |
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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.