DEVELOPMENTAL DISABILITIES CENTER (NPI# 1174532204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174532204 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES CENTER |
| Other Organization Name | IMAGINE |
| Practice Address |
1400 Dixon Avenue Lafayette CO 80026-2790 |
| Practice Telephone | 3036657789 |
| Practice Fax Number | 3036652648 |
| Mailing Telephone | 3036657789 |
| Mailing Fax Number | 3036652648 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2008-01-16 |
| Authorized Official Name | MR. JOHN NEVINS (CFO) |
| Authorized Official Telephone | 3036657789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Imagine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104378868 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1608 Otis Dr, Longmont, CO 80504-1765 | 2016-10-28 |
| 1326590084 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1806 Iris Ave, Boulder, CO 80304-2235 | 2016-10-28 |
| 1710439468 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 435 Manhattan Dr, Boulder, CO 80303-4104 | 2016-10-28 |
| 1568914224 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 15536 W Santa Fe Dr, Broomfield, CO 80023-6206 | 2016-10-28 |
| 1689126476 | Developmental Disabilities Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4500 7th St, Boulder, CO 80304-4394 | 2016-10-27 |
| 1508086794 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1665 Coal Creek Dr, Lafayette, CO 80026-2784 | 2007-04-27 |
| 1871613141 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 5421 Western Ave, Boulder, CO 80301-2708 | 2007-03-30 |
| 1962522235 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1960 Ken Pratt Blvd Ste D, Longmont, CO 80503-6045 | 2007-03-30 |
| 1831236009 | Developmental Disabilities Center | Case Management | 1400 Dixon St, Lafayette, CO 80026-2790 | 2007-01-30 |
| 1164052841 | Developmental Disabilities Center | Case Management | 1400 Dixon Ave, Lafayette, CO 80026-2790 | 2020-01-22 |
| Street Address |
1400 DIXON AVENUE |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-2790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893043 | Tms of Louisiana | Psychiatry & Neurology | 626 Verot School Rd Ste F, Lafayette, LA 70508-5094 | 2020-02-13 |
| 1386276996 | Meredith Mealer | Psychiatry & Neurology | 808 S Public Rd Ste 102, Lafayette, CO 80026-2194 | 2020-02-11 |
| 1235772492 | C Guedry LLC | Psychiatry & Neurology | 215 Bay Meadow Ln, Lafayette, LA 70507-2757 | 2019-10-21 |
| 1932498284 | Karen Marie George | Psychiatry & Neurology | 2520 North University Avenue, Lafayette, LA 70507-5306 | 2011-04-06 |
| 1548401516 | Ashley Jade Albarado | Psychiatry & Neurology | 3312 Kaliste Saloom Rd, Lafayette, LA 70508-7449 | 2009-03-20 |
| 1215119912 | Winston Irving Levy | Psychiatry & Neurology | 403 Huntley Avenue, Lafayette, LA 70508 | 2007-12-04 |
| 1003006701 | Dragoslav Gvozdjan | Psychiatry & Neurology | 415 N 26th St Ste 103, Lafayette, IN 47904-2855 | 2007-07-28 |
| 1356464283 | Scott Dorian Mayers | Psychiatry & Neurology | 216 Saint Landry St, Lafayette, LA 70506-3534 | 2007-04-07 |
| 1285711770 | Joni L Orazio | Psychiatry & Neurology | 119 Rue Fontaine, Lafayette, LA 70508 | 2006-11-01 |
| 1326123415 | Edgardo R Concepcion | Psychiatry & Neurology | 1131 Rue Du Belier, Lafayette, LA 70506 | 2006-10-26 |
| Find all providers in LAFAYETTE | ||||
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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.