MENTAL HEALTH CENTER OF DENVER


Address: 4455 E 12th Ave, Denver, CO 80220-2415
Phone: 3035047700

MENTAL HEALTH CENTER OF DENVER (NPI# 1376069666) 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) 1376069666
Entity Type Organization
Organization Name MENTAL HEALTH CENTER OF DENVER
Practice Address 4455 E 12th Ave
Denver
CO 80220-2415
Mailing Address 4141 E Dickenson Pl
Denver
CO 80222-6012
Practice Telephone 3035047700
Practice Fax Number 3037820916
Mailing Telephone 3035046500
Mailing Fax Number 3037820916
Enumeration Date 2017-08-17
Last Update Date 2020-05-20
Authorized Official Name DR. ROBERT CARL CLARK (PRESIDENT AND CEO)
Authorized Official Telephone 3035046655
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name MENTAL HEALTH CENTER OF DENVER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407215791 Mental Health Center of Denver Psychiatric Hospital 4141 E Dickenson Pl, Denver, CO 80222 2016-02-16
1518375419 Mental Health Center of Denver Clinic/Center 4141 E Dickenson Pl, Denver, CO 80222-6012 2014-07-24
1750560280 Mental Health Center of Denver Durable Medical Equipment & Medical Supplies 4141 E Dickenson Pl, Denver, CO 80222-6012 2007-11-01
1952394207 Mental Health Center of Denver Pharmacy 4455 E 12th Ave, Denver, CO 80220-2415 2005-08-23
1447242383 Mental Health Center of Denver Clinic/Center 4141 E Dickenson Pl, Denver, CO 80222 2005-08-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MENTAL HEALTH CENTER OF DENVER 4141 E Dickenson Pl, Denver, CO 80222-6012
Washington State Corporations MENTAL HEALTH CENTER OF DENVER 9535 Mary Ave Nw, Seattle, WA 98117-2332
Colorado Business Entities Mental Health Center of Denver Employee Hardship Fund 4141 E. Dickenson Place, Denver, CO 80222

Office Location

Street Address 4455 E 12TH AVE
City DENVER
State CO
Zip Code 80220-2415

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295735595 Mark Scott Marshall Psychiatry & Neurology 4455 E 12th Ave, Denver, CO 80220-2415 2005-07-28
1467053033 Bridget Frances Rowe Social Worker 4455 E 12th Ave, Denver, CO 80220-2415 2020-11-02
1558977116 Nathalie Melissa Alvarado Case Manager/Care Coordinator 4455 E 12th Ave, Denver, CO 80220-2415 2020-09-18
1578179222 Bria Voorhees Nurse's Aide 4455 E 12th Ave, Denver, CO 80220-2415 2020-09-18
1932715844 Shawnna Jessica Kirby Licensed Practical Nurse 4455 E 12th Ave, Denver, CO 80220-2415 2020-09-17
1033722335 Kevin Fisher Social Worker 4455 E 12th Ave, Denver, CO 80220-2415 2020-08-26
1982217295 Peter F Crowley Social Worker 4455 E 12th Ave, Denver, CO 80220-2415 2020-08-26
1962014035 Abigail Clark Licensed Practical Nurse 4455 E 12th Ave, Denver, CO 80220-2415 2020-08-20
1982212817 Cara La Rhe Lipford Social Worker 4455 E 12th Ave, Denver, CO 80220-2415 2020-07-16
1437776549 Laura Christina Messenger Social Worker 4455 E 12th Ave, Denver, CO 80220-2415 2020-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053876748 Woody Dental Pllc Dentist 5989 E Colfax Avenue, Denver, CO 80220 2019-02-06
1366961930 Maita Angelica Thams Case Manager/Care Coordinator 4455 E. 12th Ave, Denver, CO 80220 2017-09-14
1962943837 Rocky Mountain Therapy Ltd Clinic/Center 883 Jersey St, Denver, CO 80220 2017-03-13
1578019188 Alfredo Guzman Pharmacist 1055 Cleremont, Denver, CO 80220 2016-09-01
1265802144 Joseph Parker Morse Case Manager/Care Coordinator 4455 East 12th Avenue, Denver, CO 80220 2015-10-05
1104296789 Eric Poissant Physical Therapist 4700 East Hale Parkway, #550, Denver, CO 80220 2015-09-25
1104292085 Casey Lucarelli Student in an Organized Health Care Education/Training Program 4455 E. 12th Av., Mhcd, Denver, CO 80220 2015-08-14
1124414081 Domenic Michael Terenzi Hospitalist 8001 E 11th Ave Unit 5210, Denver, CO 80220 2015-04-07
1730598566 Jessica Nichole Heck Pharmacist 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 2014-08-06
1063840171 Kellie Ann Douglas Nurse Practitioner 4545 E 9th Ave Ste 260, Denver, CO 80220 2013-10-29
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902407687 Rrk Enterprise Community/Behavioral Health 4300 Kalamath St, Denver, CO 80211-2417 2020-11-08
1831797562 Cairn Counseling Community/Behavioral Health 1475 W Dakota Ave, Denver, CO 80223-2008 2020-10-14
1558977272 Chrysalis Continuing Care, LLC Community/Behavioral Health 3254 Larimer St, Denver, CO 80205-2314 2020-09-17
1326651621 Kuumba Therapy, LLC Community/Behavioral Health 2376 Central Park Blvd, Ste 100, Denver, CO 80238 2020-08-26
1942818869 Naomi Victoria Akwei-esterline Community/Behavioral Health 2640 W 26th Ave, Suite 217, Denver, CO 80211 2020-07-16
1295367910 Tribe Wellness, LLC Community/Behavioral Health 1633 Fillmore St Ste 360, Denver, CO 80206-1586 2020-02-11
1659832756 Spragg Consulting, L.L.C. Community/Behavioral Health 1660 S Albion St Ste 725, Denver, CO 80222-4045 2019-03-29
1437613155 Seeds of Hope Nutrition Community/Behavioral Health 1315 E 37th Ave, Denver, CO 80205-3303 2019-01-27
1902372378 Mile High Continuing Care LLC Community/Behavioral Health 1633 Fillmore St Ste Gl5, Denver, CO 80206-1547 2018-10-23
1013483304 Rocky Mountain Applied Behavior Analysts, LLC Community/Behavioral Health 7591 E Technology Way Apt 301, Denver, CO 80237-3066 2018-10-15
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Competitor

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City DENVER
Zip Code 80220

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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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