EDWIN CARLSON (NPI# 1417425802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417425802 |
| Entity Type | Individual |
| Full Name | EDWIN CARLSON |
| Practice Address |
390 Union Blvd Ste 300 Lakewood CO 80228-6514 |
| Mailing Address |
261 Hudson St Denver CO 80220-5833 |
| Practice Telephone | 9174949604 |
| Mailing Telephone | 9174949604 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174507552 | Edwin Carlson | Emergency Medicine | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2005-11-30 |
| Street Address |
390 UNION BLVD STE 300 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811325871 | Romina Kambaji Ilunga | Behavioral Analyst | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2013-10-29 |
| 1235779430 | Mary Cavaliere | Behavioral Analyst | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2020-01-15 |
| 1326606419 | Felicity C Smith | Behavioral Analyst | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2019-06-03 |
| 1821652926 | Lisa Bartholomew | Behavioral Analyst | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2019-04-24 |
| 1144789686 | Marguerite Ndiaye | Behavior Technician | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2019-03-14 |
| 1730647033 | Evie Noelle Wilson | Behavior Technician | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2019-03-05 |
| 1093273393 | Rocio Regina Ramos | Behavior Technician | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2019-03-05 |
| 1932667573 | Megan Elizabeth Mcgillycuddy | Behavior Technician | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2019-03-02 |
| 1457816266 | Susan Davis | Behavior Technician | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2019-02-06 |
| 1619432424 | Jean-marie De Leon | Behavior Technician | 390 Union Blvd Ste 300, Lakewood, CO 80228-6514 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720341480 | Kathleen Mcateer | Developmental Therapist | 160 Airport Rd # 238, Lakewood, NJ 08701-6927 | 2012-06-19 |
| 1396008256 | Amy Jill Duerr | Developmental Therapist | 500 River Ave Ste 245, Lakewood, NJ 08701-4738 | 2012-06-15 |
| 1356687966 | Tendercare Therapy Services LLC | Developmental Therapist | 15 Buchanan St, Lakewood, NJ 08701-2306 | 2012-12-31 |
| 1558630129 | Rosemary Kelly | Developmental Therapist | 500 River Ave, Suite 245, Lakewood, NJ 08701-4738 | 2011-12-27 |
| 1518234863 | Christine Shiffler | Developmental Therapist | 500 River Avenue, Classic Rehabilitation, Ltd. Suite 245, Lakewood, NJ 08701 | 2011-11-30 |
| 1699075358 | Virginia J Isaksen | Developmental Therapist | 500 River Ave, Suite 245, Lakewood, NJ 08701-4738 | 2010-10-28 |
| 1598075186 | Jillian Hopson | Developmental Therapist | 500 River Ave, Suite 245, Lakewood, NJ 08701 | 2010-10-15 |
| 1750691796 | Adrienne Oconnor | Developmental Therapist | 500 River Ave, Suite 245, Lakewood, NJ 08701-4738 | 2010-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409495 | This Village Developmental Therapies | Developmental Therapist | 719 S University Blvd, Denver, CO 80209-4722 | 2020-08-25 |
| 1821635822 | Madeline G Martin | Developmental Therapist | 4811 Meade St, Denver, CO 80221-1029 | 2019-12-09 |
| 1790234185 | Brett Saizan Payne | Developmental Therapist | 832 Donegan Rd, C, Glenwood Springs, CO 81601-2778 | 2016-09-26 |
| 1396290250 | Josie Mullally | Developmental Therapist | 20163 Stell Rd, Eckert, CO 81418-8300 | 2016-08-22 |
| 1144563057 | Beth Cady | Developmental Therapist | 44106 Highway 72, Ward, CO 80481-0121 | 2013-03-28 |
| 1104187723 | Michelle Lee | Developmental Therapist | 355 N Mill St, Apt 311, Aspen, CO 81611-1556 | 2012-05-30 |
| 1679860910 | Lori Ann Sheerin | Developmental Therapist | 312 Carlile Ave, Pueblo, CO 81004-1018 | 2011-07-07 |
| 1790392322 | Kerry Diener | Developmental Therapist | 7091 Boreas Rd, Larkspur, CO 80118-8102 | 2020-09-28 |
| 1073076345 | Jessica Kathleen Brown | Developmental Therapist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-04-12 |
| 1053784256 | Angel's Service LLC | Developmental Therapist | 18224 E Layton Pl, Aurora, CO 80015-3264 | 2015-11-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EDWIN CARLSON.
| 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.