JONATHAN MARK LIPSON (NPI# 1023010691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023010691 |
| Entity Type | Individual |
| Full Name | JONATHAN MARK LIPSON |
| Credential | PH.D. |
| Practice Address |
1746 Cole Blvd Building 21, Suite 295 Lakewood CO 80401-3208 |
| Mailing Address |
Po Box 478 Conifer CO 80433-0478 |
| Practice Telephone | 3039161952 |
| Practice Fax Number | 3032784981 |
| Mailing Telephone | 3039161952 |
| Mailing Fax Number | 3032784981 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2009-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2129 | CO | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
2129 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | LIA53624 | 01 | |
| CO | 07021298 | 05 |
| Street Address |
1746 COLE BLVD BUILDING 21, SUITE 295 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80401-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586356 | Andrew A Meade | Radiology | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401-3208 | 2005-05-27 |
| 1386969111 | Keir D Marshall | Radiology | 1746 Cole Blvd, Ste 150, Lakewood, CO 80401-3208 | 2010-04-05 |
| 1154564672 | Bridget Colette Rogers | Radiology | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401-3208 | 2009-04-14 |
| 1982867404 | Sonali Mehandru | Radiology | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401 | 2008-07-03 |
| 1528229366 | Elizabeth Carpenter | Radiology | 1746 Cole Blvd, Ste 150, Lakewood, CO 80401-3267 | 2008-06-24 |
| 1497923361 | Clayton L Vandergriff | Radiology | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401-3208 | 2008-02-13 |
| 1578749990 | Matthew Adam Lynn | Radiology | 1746 Cole Blvd, Ste 150, Lakewood, CO 80401-3208 | 2008-01-16 |
| 1730373127 | Perry M Stevens | Radiology | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401-3208 | 2007-08-29 |
| 1790976462 | Matthew D Schmitz | Radiology | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401-3208 | 2007-08-07 |
| 1629268537 | Adam Edgar Kowalski | Radiology | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401-3208 | 2007-07-26 |
| Find all providers in the same location | ||||
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| 1255853826 | Angela Kathryn Brickman | Behavior Technician | 714 Ridgeside Drive, Golden, CO 80401 | 2017-07-14 |
| 1710408240 | Catherine Camacho | Psychologist | 913 Arapahoe St, Golden, CO 80401 | 2017-07-06 |
| 1710420492 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 17101 S Golden Rd., Golden, CO 80401 | 2016-11-29 |
| 1366991051 | Britta Marie Olson | Physical Therapist | 600 Golden Ridge Rd, Suite 130, Golden, CO 80401 | 2016-09-23 |
| 1003284209 | Maria Alta Mcvey | Dental Hygienist | 2305 Jackson St., Golden, CO 80401 | 2015-09-04 |
| 1548644479 | Christine Rodriguez | Dental Hygienist | 2305 Jackson Street, Golden, CO 80401 | 2015-07-09 |
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| 1942644844 | Golden Kids Dental | Dentist | 2421 Ford St., Golden, CO 80401 | 2013-04-22 |
| Find all providers in zip 80401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1093296261 | Kendra A Mathys Psyd LLC | Psychologist | 15644 Madison Ave Ste 202, Lakewood, OH 44107-5622 | 2018-08-27 |
| 1285137703 | Empower Health Center | Psychologist | 195 Walnut Ave, Lakewood, NJ 08701-5669 | 2018-03-11 |
| 1639607336 | Reine Evereteze, Psyd, LLC | Psychologist | 8015 W Alameda Ave Ste 230, Lakewood, CO 80226-3076 | 2017-05-25 |
| 1043686991 | Vincent Thomas Gollogly | Psychologist | 11444 Gravelly Lake Dr Sw, Lakewood, WA 98499-1404 | 2015-08-14 |
| 1710390299 | Mark Onusko | Psychologist | 2085 Wyandotte Ave, Lakewood, OH 44107-6135 | 2014-06-03 |
| 1093126369 | Elizabeth Ormond Ahlers | Psychologist | 1687 Cole Blvd Ste 103, Lakewood, CO 80401-3318 | 2014-05-08 |
| 1114346343 | Meshkin B Amirirad | Psychologist | 1492 S Jellison St, Lakewood, CO 80232-5025 | 2014-04-15 |
| Find all providers in LAKEWOOD | ||||
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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.