DR. BROOKE KISH (NPI# 1003048497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003048497 |
| Entity Type | Individual |
| Full Name | DR. BROOKE KISH |
| Credential | PH.D. |
| Practice Address |
9397 Crown Crest Blvd Parker CO 80138-8575 |
| Mailing Address |
30424 Upper Bear Creek Rd Evergreen CO 80439-7715 |
| Practice Telephone | 3033492691 |
| Mailing Telephone | 3033492691 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3319 | CO | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
0380805 | CO | Behavioral Health & Social Service Providers |
| Street Address |
9397 CROWN CREST BLVD |
| City | PARKER |
| State | CO |
| Zip Code | 80138-8575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449712 | Diane M Schmitz | Obstetrics & Gynecology | 9397 Crown Crest Blvd, Suite 320, Parker, CO 80138-8575 | 2005-06-30 |
| 1588181648 | Jake Robert Nuffer | Audiologist | 9397 Crown Crest Blvd, Suite 307, Parker, CO 80138 | 2017-08-29 |
| 1518419530 | Parker Pharmacy, LLC | Pharmacy | 9397 Crown Crest Blvd, Ste 101, Parker, CO 80138-8575 | 2016-10-25 |
| 1437600343 | Lindsay Saavedra | Registered Nurse | 9397 Crown Crest Blvd, Ste # 320, Parker, CO 80138-8575 | 2016-10-17 |
| 1710435193 | Esprit Woman Care | Obstetrics & Gynecology | 9397 Crown Crest Blvd, Suite 320, Parker, CO 80138-8575 | 2016-09-14 |
| 1295282572 | Surgone, PC | Neurological Surgery | 9397 Crown Crest Blvd, Suite 411, Parker, CO 80138-8575 | 2016-09-05 |
| 1073971578 | University Physicians Incorporated | Obstetrics & Gynecology | 9397 Crown Crest Blvd, Ste 401, Parker, CO 80138 | 2016-01-29 |
| 1376912865 | Pinnacle Medical Partners LLC | Pediatrics | 9397 Crown Crest Blvd, Suite 211, Parker, CO 80138-8575 | 2015-09-15 |
| 1780050518 | Denise Ann Tomlinson Mitchell | Registered Nurse | 9397 Crown Crest Blvd, Suite 400, Parker, CO 80138 | 2015-08-16 |
| 1548650450 | Jenna Jacobson | Physician Assistant | 9397 Crown Crest Blvd, Ste 420, Parker, CO 80138-8789 | 2015-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1568081198 | Dr. Trathen & Associates, PC | Clinic/Center | 19284 Cottonwood Dr., Suite 202, Parker, CO 80138 | 2020-04-14 |
| 1427601228 | Mendalyn Berry | Counselor | 19751 Mainstreet, Suite 395, Parker, CO 80138 | 2019-07-20 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1043737315 | Ponderosa Counseling Center LLC | Nurse Practitioner | 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 | 2017-08-27 |
| 1942674502 | Brittany Caitlin Peters | Occupational Therapist | 12169 S Hidden Trail Ct, Parker, CO 80138 | 2015-11-19 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| 1013328426 | Dena Dobbs | Dietitian, Registered | 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 | 2014-05-20 |
| 1811322092 | Aba At Legacy | Behavioral Analyst | 19751 E. Mainstreet Ste. 215, Parker, CO 80138 | 2013-09-06 |
| Find all providers in zip 80138 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871736793 | Lindsey Alison Einhorn | Psychologist | 10371 Parkglenn Way Ste 100, Parker, CO 80138-3871 | 2009-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174099857 | I Have A Dream Foundation - Colorado | Psychologist | Strive Prep - Ruby Hill, 2626 W. Evans Ave, Denver, CO 80219 | 2018-10-19 |
| 1699217778 | Bradley Kent Jackson | Psychologist | 13123 E 16th Ave # 245, Aurora, CO 80045-7106 | 2016-11-07 |
| 1447614383 | Lauren Shomaker | Psychologist | 410 Pitkin St, 1570 Campus Delivery, Fort Collins, CO 80523-1570 | 2016-04-06 |
| 1811301153 | Rachel Ahern | Psychologist | 1298 Peoria St, Aurora, CO 80011-6206 | 2014-06-15 |
| 1942610258 | Stephanie Miller | Psychologist | 150 W 9th Ave Unit 2115, Denver, CO 80204-4045 | 2014-05-08 |
| 1346650454 | Maribel Hinojosa Psyd LLC | Psychologist | 7200 E Dry Creek Rd Ste G208, Centennial, CO 80112-2575 | 2014-04-29 |
| 1427315613 | Lisa Ann Mcclun | Psychologist | 447 W Columbia Ave, Telluride, CO 81435-9448 | 2012-04-12 |
| 1891063582 | Marcia L Braden | Psychologist | 214 E Dale St, #110, Colorado Springs, CO 80903-4729 | 2011-12-08 |
| 1245523430 | Marcela Torres | Psychologist | 1440 15th Street, Boulder, CO 80309-7106 | 2011-05-19 |
| 1306150727 | Nancy Gary | Psychologist | 5290 E Yale Cir Ste 207, Denver, CO 80222-6933 | 2010-07-27 |
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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.