DR. DAVID GAGE MIRICH


Address: 2860 Ames St, Wheat Ridge, CO 80214-8520
Phone: 3038240132

DR. DAVID GAGE MIRICH (NPI# 1326190083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326190083
Entity Type Individual
Full Name DR. DAVID GAGE MIRICH
Credential PH.D.
Practice Address 2860 Ames St
Wheat Ridge
CO 80214-8520
Practice Telephone 3038240132
Practice Fax Number 3035246451
Mailing Telephone 3038240132
Mailing Fax Number 3035246451
Enumeration Date 2007-01-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist 2679 CO Behavioral Health & Social Service Providers
X 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
2679 CO Behavioral Health & Social Service Providers
X 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
2679 CO Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
2679 CO Behavioral Health & Social Service Providers
X 103TF0200X Psychologist
Specialization: Forensic
2679 CO Behavioral Health & Social Service Providers
X 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
2679 CO Behavioral Health & Social Service Providers
X 103TP2701X Psychologist
Specialization: Group Psychotherapy
2679 CO Behavioral Health & Social Service Providers
X 103TS0200X Psychologist
Specialization: School
2679 CO Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist 2679 CO Behavioral Health & Social Service Providers

Other Providers DAVID MIRICH

NPI Name Taxonomy Address Enumeration
1861492522 David Randall Mirich Radiology 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 2005-07-26

Office Location

Street Address 2860 AMES ST
City WHEAT RIDGE
State CO
Zip Code 80214-8520

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
1649760190 Nu Dawn Counseling Center LLC Psychologist 4045 Wadsworth Blvd Ste 308, Wheat Ridge, CO 80033-4626 2018-05-10
1083829055 Gayle Ann Civish Psychologist 10200 W 44th Ave, Suite 210-b, Wheat Ridge, CO 80033-2837 2007-05-13
1487799821 Scott Michael Sorensen Psychologist 4380 Harlan St Ste 200, Wheat Ridge, CO 80033-5137 2007-02-21
1437769379 Renae Beth Stigler Psychologist 4851 Independence St, Wheat Ridge, CO 80033-6715 2020-08-05
1386294536 Evelyn Ohaus Psychologist 4851 Independence St, Wheat Ridge, CO 80033-6715 2019-09-18
1366924920 Gesa Maria Kohlmeier Psychologist 4851 Independence St, Wheat Ridge, CO 80033-6715 2018-08-30
1528545910 Jenna Marie Blakely Psychologist 4851 Independence St, Wheat Ridge, CO 80033-6715 2018-07-27
1821524505 Active Talks LLC Psychologist 6101 W 38th Ave, Wheat Ridge, CO 80033-5146 2017-05-02
1457805640 Wendy Morrison Psychologist 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 2016-08-05
1821378258 Brean Andrew Roman Psychologist 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 2011-08-16
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Competitor

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City WHEAT RIDGE
Zip Code 80214

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Dataset Information

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.

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