DR. MIRA EKLUND (NPI# 1700938990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700938990 |
| Entity Type | Individual |
| Full Name | DR. MIRA EKLUND |
| Credential | M.D. |
| Practice Address |
455 Acoma St Denver CO 80204-5112 |
| Practice Telephone | 3037809191 |
| Practice Fax Number | 3037809192 |
| Mailing Telephone | 3037809191 |
| Mailing Fax Number | 3037809192 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
42236 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE PTAN | COA100797 | 01 |
| CO | 89228723 | 05 |
| Street Address |
455 ACOMA ST |
| City | DENVER |
| State | CO |
| Zip Code | 80204-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073951596 | Jill Angela Carstens | Counselor | 455 Acoma St, Denver, CO 80204-5112 | 2013-06-06 |
| 1932544483 | Brent James Dixon | Counselor | 455 Acoma St, Denver, CO 80204-5112 | 2013-05-09 |
| 1447583307 | Joshua William Voigt | Counselor | 455 Acoma St, Denver, CO 80204-5112 | 2009-09-10 |
| 1255582185 | Jonathan Charles Tinniswood | Counselor | 455 Acoma St, Denver, CO 80204-5112 | 2008-10-09 |
| 1255581591 | Dana Brooke Freisinger | Social Worker | 455 Acoma St, Denver, CO 80204-5112 | 2008-09-23 |
| 1962658781 | Laura Ann Seese | Social Worker | 455 Acoma St, Denver, CO 80204-5112 | 2008-08-12 |
| 1770747883 | Martha Vellanira Clark | Social Worker | 455 Acoma St, Denver, CO 80204-5112 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1205254182 | Elizabeth Fenstermacher | Psychiatry & Neurology | 777 Bannock St Dept Of, Denver, CO 80204-4507 | 2014-03-28 |
| 1467725333 | Gordon King Farley | Psychiatry & Neurology | 12015 E 46th Ave Ste 500, Denver, CO 80239-3133 | 2012-02-22 |
| 1356500292 | Susan Mary Vanscoyk-simon | Psychiatry & Neurology | 1616 17th Street Suite 578, Denver, CO 80202 | 2008-06-05 |
| 1114118742 | Adam S Burstein | Psychiatry & Neurology | 1731 E 16th Ave, Denver, CO 80218-1628 | 2007-08-08 |
| 1336355130 | Sascha Arbouet | Psychiatry & Neurology | 660 Bannock St Fl 5, Denver, CO 80204 | 2007-05-16 |
| 1356409064 | Robert Lee Hernandez | Psychiatry & Neurology | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2006-12-05 |
| 1538244272 | Carolyn F. Munro | Psychiatry & Neurology | 4100 E Mississippi Ave Ste 600, Denver, CO 80246-3054 | 2006-10-25 |
| 1518479799 | Donna Vishnevetsky Md LLC | Psychiatry & Neurology | 3801 E Florida Ave, Denver, CO 80210-2571 | 2017-10-28 |
| 1033497268 | Kristin N Homburg Harris | Psychiatry & Neurology | 777 Bannock St, Denver, CO 80204-4507 | 2011-07-21 |
| 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.