DAVID PETERSON JR. (NPI# 1366823858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366823858 |
Entity Type | Individual |
Full Name | DAVID PETERSON JR. |
Practice Address |
1290 S Potomac St Aurora CO 80012-4524 |
Practice Telephone | 3035972268 |
Mailing Telephone | 3038957808 |
Enumeration Date | 2015-06-10 |
Last Update Date | 2015-06-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | LPC.0012467 | CO | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
1386070647 | David Michael Peterson | Pharmacist | 1200 W Gold St, Butte, MT 59701-2110 | 2013-09-18 |
1427336601 | David James Peterson | Physical Therapist | 59 Akea Pl, Kula, HI 96790-8501 | 2011-07-22 |
1386858942 | David Brian Peterson | Psychologist | 460 Oak St, Apt 115, Glendale, CA 91204-1265 | 2007-05-10 |
1851412241 | David Peterson | Chiropractor | 17331 Penn Valley Dr, Penn Valley, CA 95946-9340 | 2007-04-03 |
1487716783 | David Norman Peterson | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2006-12-14 |
1033279484 | David Eugene Peterson | Dentist | 17267 W 3rd St, Sddc, Redfield, SD 57469-1001 | 2006-12-08 |
1801968359 | David Scott Peterson | Psychiatry & Neurology | 1345 East 3900 South Ste 208, Salt Lake City, UT 84124-4416 | 2006-11-13 |
1104905272 | David Hedden Peterson | Social Worker | 222 9th Ave W, Alexandria, MN 56308-2221 | 2006-11-02 |
1932284031 | David Donald Peterson | Counselor | 318 E Main St # 106, Battle Ground, WA 98604-8508 | 2006-10-26 |
Street Address |
1290 S POTOMAC ST |
City | AURORA |
State | CO |
Zip Code | 80012-4524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760500557 | Jefferson Hills Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1290 S Potomac St, Aurora, CO 80012-4524 | 2007-03-27 |
1871192930 | Aurora Comprehensive Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-10-20 |
1588261762 | Aurora Comprehensive Community Mental Health Center | Substance Abuse Rehabilitation Facility | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-10-01 |
1760099659 | Devrey Ann Martin | Student in an Organized Health Care Education/Training Program | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-09-25 |
1356967012 | Emily Otero | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-06-18 |
1598398323 | Victoria N/a Awuah | Student in an Organized Health Care Education/Training Program | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-02-20 |
1841855004 | Paul Geroge-edgar Baesel | Student in an Organized Health Care Education/Training Program | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-05-03 |
1134783921 | Severin Hubka | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-04-26 |
1447814314 | Rodolfo Garza IIi | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-04-26 |
1831652437 | Justin Turnage | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
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Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760500557 | Jefferson Hills Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1290 S Potomac St, Aurora, CO 80012-4524 | 2007-03-27 |
1407873342 | Excelsior Youth Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 15001 E Oxford Ave, Aurora, CO 80014-4186 | 2006-07-16 |
1790753275 | Center for Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2255 Church Rd, Aurora, IL 60502-8741 | 2006-03-09 |
1861946147 | Lisa Post | Residential Treatment Facility, Emotionally Disturbed Children | 15001 E Oxford Ave, Aurora, CO 80014-4186 | 2016-08-04 |
1649574617 | Excelsior Youth Center Inc | Residential Treatment Facility, Emotionally Disturbed Children | 15001 E Oxford Ave, Aurora, CO 80014-4186 | 2011-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831722933 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 65 Diamond E Rd, Fountain, CO 80817-3325 | 2020-02-17 |
1902439003 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 2810 Hunters Glen Rd, Monument, CO 80132-9704 | 2020-02-17 |
1306479407 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 3101 Palmer Park Blvd, Colorado Springs, CO 80909-3120 | 2020-02-17 |
1689206401 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 2129 N Nevada Ave, Colorado Springs, CO 80907-6916 | 2020-02-10 |
1164998506 | Kokua Co LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5401 W 9th St, Greeley, CO 80634-4431 | 2018-10-23 |
1851824213 | Rite of Passage, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1590 12th St, Alamosa, CO 81101-3701 | 2017-04-04 |
1962935379 | Rite of Passage Inc | Residential Treatment Facility, Emotionally Disturbed Children | 8810 Highway 103, Idaho Springs, CO 80452-9623 | 2017-04-04 |
1801349105 | Shiloh Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 9700 E Easter Lane, Centennial, CO 80112 | 2016-08-03 |
1588971204 | Shiloh Home Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8461 Delaware St, Thornton, CO 80260-4821 | 2010-09-01 |
1225263593 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9100 E Lowry Blvd, Lowry Sprout, Denver, CO 80230-6935 | 2009-05-15 |
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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.