SUSAN SHAMOS (NPI# 1275641391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275641391 |
| Entity Type | Individual |
| Full Name | SUSAN SHAMOS |
| Credential | PHD |
| Practice Address |
1980 Dahlia St Denver CO 80220-1239 |
| Mailing Address |
1385 S Colorado Blvd Suite A210 Denver CO 80222-3304 |
| Practice Telephone | 3037586087 |
| Practice Fax Number | 3036395243 |
| Mailing Telephone | 3036395240 |
| Mailing Fax Number | 3036395243 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2714 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | GROUP NPI | 1417962234 | 01 |
| Street Address |
1980 DAHLIA ST |
| City | DENVER |
| State | CO |
| Zip Code | 80220-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124425640 | Nurit Rotbart | Social Worker | 1980 Dahlia St, Denver, CO 80220-1239 | 2014-11-26 |
| 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 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174099857 | I Have A Dream Foundation - Colorado | Psychologist | Strive Prep - Ruby Hill, 2626 W. Evans Ave, Denver, CO 80219 | 2018-10-19 |
| 1942610258 | Stephanie Miller | Psychologist | 150 W 9th Ave Unit 2115, Denver, CO 80204-4045 | 2014-05-08 |
| 1306150727 | Nancy Gary | Psychologist | 5290 E Yale Cir Ste 207, Denver, CO 80222-6933 | 2010-07-27 |
| 1730322728 | Meredith Cerian Jones | Psychologist | University of Denver Child and Family Clinic, Frontier Hall, 2155 S. Race St., Denver, CO 80208-0001 | 2009-04-07 |
| 1629225057 | Brian C Wolff | Psychologist | 3433 W 38th Ave, Denver, CO 80211-1911 | 2008-08-27 |
| 1770709453 | Donald L Klein | Psychologist | 2 Garvin Rd, Denver, PA 17517-9407 | 2007-04-18 |
| 1407473838 | Jeff Burton Boscoe-huffman | Psychologist | 673 N Grant St, Denver, CO 80203-3506 | 2020-07-01 |
| 1427601764 | Allison Meyer | Psychologist | 940 Fillmore St, Denver, CO 80206-3852 | 2019-07-16 |
| 1144794215 | Alexandra Maria Branagan | Psychologist | 777 Bannock St, Denver, CO 80204-4507 | 2019-01-11 |
| 1285113803 | Sara J Hills | Psychologist | 777 Bannock St # Mc3240, Denver, CO 80204-4507 | 2018-08-14 |
| Find all providers in DENVER | ||||
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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.