STEFAN MICHAEL BUMOL


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

STEFAN MICHAEL BUMOL (NPI# 1003234030) 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) 1003234030
Entity Type Individual
Full Name STEFAN MICHAEL BUMOL
Practice Address 4455 E 12th Ave
Denver
CO 80220-2415
Practice Telephone 3035047700
Mailing Telephone 3035047700
Enumeration Date 2014-04-07
Last Update Date 2019-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
DR.0062808 CO Allopathic & Osteopathic Physicians

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 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639786445 Eating Recovery Center Psychiatry & Neurology 8140 E. 5th Ave, Denver, CO 80230 2020-09-25
1023639929 Lcl Wellness, LLC Psychiatry & Neurology 7550 W Yale Ave Ste A155, Denver, CO 80227-3487 2020-05-01
1255838348 Ketamine Treatment Centers of Denver Pllc Psychiatry & Neurology 1355 S Colorado Blvd # C-304, Denver, CO 80222-3305 2018-04-06
1164861670 John S. Graves, M.d., P.C. Psychiatry & Neurology 4770 E Iliff Ave. #228, Denver, CO 80222 2013-06-18
1932544723 Callie Deann Montez Psychiatry & Neurology 425 S Cherry St Ste 620, Denver, CO 80246-1233 2013-05-07
1407113087 Joshua Andrew Evans Psychiatry & Neurology 950 S Cherry St Ste 420, Denver, CO 80246-2664 2012-04-19
1790041143 Akos Mersich Psychiatry & Neurology 4900 E Cherry Creek South Dr Ste E, Denver, CO 80246-2283 2012-04-10
1194098103 Peter Mayerson Psychiatry & Neurology 2000 Little Raven St., #999, Denver, CO 80202-6199 2012-02-22
1699067603 Cecile Audrey Mauge Psychiatry & Neurology 2611 Ivy St, Denver, CO 80207-3414 2011-05-09
1477858280 Kristi L Cassleman Psychiatry & Neurology 7900 E 1st Ave Ste 200, Denver, CO 80230-7204 2011-01-26
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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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