DR. ANDREA KOHN MAIKOVICH-FONG (NPI# 1144770611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144770611 |
| Entity Type | Individual |
| Full Name | DR. ANDREA KOHN MAIKOVICH-FONG |
| Credential | PH.D., ABPP |
| Practice Address |
10400 E Alameda Ave Denver CO 80247-5104 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-3659 | CO | Behavioral Health & Social Service Providers |
| Street Address |
10400 E ALAMEDA AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80247-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537698 | David A Downs Jr. | Internal Medicine | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2005-06-13 |
| 1174158851 | Brett Quarto | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2020-03-03 |
| 1659910180 | Tyrel E Dixon | Social Worker | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2020-01-01 |
| 1114569662 | Christa Oliva | Pharmacist | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2019-10-16 |
| 1083114631 | Erica Kennedy | Social Worker | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2018-02-20 |
| 1528568516 | Nereida A Despain | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2018-02-15 |
| 1568976314 | Jessica Lynn Weidner | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2017-11-30 |
| 1619496650 | Sammie Jo Heckler | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2017-09-11 |
| 1326564691 | Laura Sue Brown | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2017-08-18 |
| 1144740630 | Abigail Michal Bushnell | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438555 | Tawanda D Moss | Technician, Pathology | 10105 E. Virgina Ave. 7-108, Denver, CO 80247 | 2020-08-18 |
| 1992320428 | Renate Petters | Behavior Technician | 1799 S. Dayton St., Building 2 Unit 237, Denver, CO 80247 | 2020-06-10 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1316462336 | Bonnie Doman | Acupuncturist | 9300 E Florida Ave Unit 401, Denver, CO 80247 | 2017-08-10 |
| 1235669847 | Met Transport | Non-emergency Medical Transport (VAN) | 630 S Dayton St, Apt 16-205, Denver, CA 80247 | 2017-06-15 |
| 1144752429 | Phoenix Medical Supply | Durable Medical Equipment & Medical Supplies | 7950 E. Missississippi Ave., Unit-d, Denver, CO 80247 | 2017-03-28 |
| 1023479730 | Francesca Celupica | Counselor | 9071 E Mississippi Ave 31c, Noesis: Integrated Psychotherapy Services, Denver, CO 80247 | 2016-03-09 |
| 1730544594 | Scs Assisted Living Denver Inc | Assisted Living Facility | 941 S Fulton St, Denver, CO 80247 | 2015-12-22 |
| 1538539382 | Alpine Limousine LLC | Non-emergency Medical Transport (VAN) | 9915 E Mexico Ave, Denver, CO 80247 | 2015-10-05 |
| 1528438082 | Yonas Tadesse Taye | Non-emergency Medical Transport (VAN) | 8680 E Alameda Ave Unit# 1606, Denver, CO 80247 | 2015-09-28 |
| Find all providers in zip 80247 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373621 | Colorado Springs Psychological Services | Psychologist | 6000 E Evans Ave Ste 350, Denver, CO 80222-5406 | 2020-10-12 |
| 1629676804 | Suzanne Beth Schimmel Cooper | Psychologist | 8158 E 5th Ave Ste 270, Denver, CO 80230-6446 | 2020-10-11 |
| 1336746429 | Alexis Emich | Psychologist | 950 S Cherry St Ste 421, Denver, CO 80246-2665 | 2020-10-02 |
| 1043821986 | Wendy M Cowperthwaite | Psychologist | 1720 S Bellaire St Ste 900, Denver, CO 80222-4333 | 2020-08-13 |
| 1649892704 | Erin E Shrago | Psychologist | 600 S Cherry St Ste 1111, Denver, CO 80246-1716 | 2020-05-12 |
| 1639700677 | Karen Rosica | Psychologist | 2000 Little Raven St Unit 302, Denver, CO 80202-6134 | 2020-01-29 |
| 1811451644 | Lisa May Brownstone | Psychologist | 4340 E Kentucky Ave Ste 451, Denver, CO 80246-2079 | 2019-01-25 |
| 1821592098 | Charles D. Glass, Ph.d., LLC | Psychologist | 1777 S Bellaire St Ste 160, Denver, CO 80222-4314 | 2018-03-21 |
| 1457854507 | Jessica Anne Reyka | Psychologist | 1739 N Gilpin St Apt 102, Denver, CO 80218-1232 | 2018-03-15 |
| 1376057695 | David Shanley Psyd, LLC | Psychologist | 1776 S Jackson St Ste 800, Denver, CO 80210-3807 | 2017-11-22 |
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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.