MR. BRYCE CRAIG WILLSON (NPI# 1518954643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518954643 |
| Entity Type | Individual |
| Full Name | MR. BRYCE CRAIG WILLSON |
| Credential | MA, CACIII, LPC |
| Practice Address |
3575 S Washington St Englewood CO 80113-3807 |
| Mailing Address |
4860 Robb St Suite 201 Wheat Ridge CO 80033-2184 |
| Practice Telephone | 3037892265 |
| Mailing Telephone | 3032787418 |
| Mailing Fax Number | 3032239315 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2016-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5782 | CO | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2955 | CO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3874 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | CAQH | 11638726 | 01 |
| CO | PROFESSIONAL LICENSE | 3874 | 01 |
| Street Address |
3575 S WASHINGTON ST |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730609579 | Cherry Hills Healthcare, Inc. | Respite Care | 3575 S Washington St, Englewood, CO 80113-3807 | 2017-06-22 |
| 1912449877 | Kelsey Payne | Occupational Therapy Assistant | 3575 S Washington St, Englewood, CO 80113-3807 | 2016-11-09 |
| 1508308461 | Robert Sallee | Physical Therapy Assistant | 3575 S Washington St, Englewood, CO 80113-3807 | 2016-11-09 |
| 1184166050 | Erin Tancredi | Occupational Therapist | 3575 S Washington St, Englewood, CO 80113-3807 | 2016-11-09 |
| 1407274517 | Cherry Hills Healthcare, Inc. | Skilled Nursing Facility | 3575 S Washington St, Englewood, CO 80113-3807 | 2014-04-04 |
| 1154585529 | Helen Wetzel | Occupational Therapy Assistant | 3575 S Washington St, Englewood, CO 80113-3807 | 2008-07-15 |
| 1003070699 | Kara Patricia Grande | Speech-Language Pathologist | 3575 S Washington St, Englewood, CO 80113-3807 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376062943 | Kenneth Alan Frank | Psychologist | 185 E Palisade Ave Ste A6a, Englewood, NJ 07631-3151 | 2017-09-14 |
| 1952848566 | Allison Kelley Sheftall | Psychologist | 4754 S Bannock St, Englewood, CO 80110-6533 | 2017-01-22 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1689998841 | North Jersey Laparoscopic Associates | Psychologist | 309 Engle Street, Suite 1, Englewood, NJ 07631 | 2010-03-17 |
| 1578895157 | Alison J. Wilson, Ph.d. | Psychologist | 67 Inverness Drive. East, Englewood, CO 80112 | 2010-02-05 |
| 1710149091 | Melvin Gluck | Psychologist | 251 Allison Ct, Englewood, NJ 07631-4301 | 2008-06-27 |
| 1467638965 | Sheldon Kastner | Psychologist | 194 Sherwood Pl, Englewood, NJ 07631-3611 | 2008-01-14 |
| 1669595245 | Julie Dale Lapides | Psychologist | 3615 S Huron St, Suite 106, Englewood, CO 80110-3499 | 2007-04-09 |
| 1821121245 | Mary Green Maffia | Psychologist | 236 S Dwight Pl, Englewood, NJ 07631-4315 | 2007-03-14 |
| 1821125212 | Daniel F. Schievella | Psychologist | 10 W Ivy Ln, Suite #7, Englewood, NJ 07631-6705 | 2007-02-27 |
| Find all providers in ENGLEWOOD | ||||
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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.