DAVID PETERSON JR.


Address: 1290 S Potomac St, Aurora, CO 80012-4524
Phone: 3035972268

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children LPC.0012467 CO Residential Treatment Facilities

Other Providers DAVID PETERSON

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

Office Location

Street Address 1290 S POTOMAC ST
City AURORA
State CO
Zip Code 80012-4524

Providers in the same location

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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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
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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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Competitor

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City AURORA
Zip Code 80012

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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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