ROCKY MOUNTAIN BEHAVIORAL MEDICINE, LLC (NPI# 1225409618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225409618 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN BEHAVIORAL MEDICINE, LLC |
| Practice Address |
11705 Airport Way Suite 301 Broomfield CO 80021-2706 |
| Practice Telephone | 7206339693 |
| Practice Fax Number | 7203861086 |
| Mailing Telephone | 7206339693 |
| Mailing Fax Number | 7203861086 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | KENDRA SHERWOOD (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7206339693 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4272 | CO | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rocky Mountain Behavioral Medicine, LLC | 11705 Airport Way, Suite 301, Broomfield, CO 80021 |
| Street Address |
11705 AIRPORT WAY SUITE 301 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80021-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053781401 | Valerie Sims | Clinical Neuropsychologist | 11705 Airport Way, Suite 301, Broomfield, CO 80021-2706 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413166 | Sarah Lynn Schwarz | Psychologist | 11775 Wadsworth Blvd Apt 4205, Broomfield, CO 80020-2760 | 2020-07-02 |
| 1770969305 | Allison R Grodzki | Psychologist | 6363 W 120th Ave Ste 200, Broomfield, CO 80020-2406 | 2015-08-05 |
| 1710210331 | Kamila Maria Cass | Psychologist | 4522 Longs Ct, Broomfield, CO 80023 | 2009-09-15 |
| 1740384114 | Cmaureen Cole | Psychologist | 2095 W 6th Ave Ste 206, Broomfield, CO 80020-1880 | 2006-09-07 |
| 1235247677 | Margaret A Theeman | Psychologist | 740 Burbank, Broomfield, CO 80020 | 2006-08-27 |
| 1952418105 | Mark Vlosky | Psychologist | 11811 Upham St, Ste C, Broomfield, CO 80020-2777 | 2006-08-24 |
| 1295849735 | Lois K Vanderkooi | Psychologist | 710 Burbank St, Broomfield, CO 80020-1658 | 2006-08-19 |
| 1750373569 | Ani S. Liggett | Psychologist | 740 Burbank St, Broomfield, CO 80020-1658 | 2005-08-17 |
| 1619451341 | Angelo Nicholas Alago | Psychologist | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 | 2018-09-19 |
| 1003275439 | Indepth Therapy, LLC | Psychologist | 1008 Depot Hill Rd Ste 200, Broomfield, CO 80020-6724 | 2016-02-12 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80021 |
Please comment or provide details below to improve the information on ROCKY MOUNTAIN BEHAVIORAL MEDICINE, LLC.
| 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.