MEMORY BRIDGING INCORPORATED (NPI# 1386827293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386827293 |
| Entity Type | Organization |
| Organization Name | MEMORY BRIDGING INCORPORATED |
| Practice Address |
16154 Rock Crystal Dr Parker CO 80134-3305 |
| Mailing Address |
141 Mack Bayou Loop Suite 201 Santa Rosa Beach FL 32459-7194 |
| Practice Telephone | 3033281195 |
| Practice Fax Number | 3035576240 |
| Mailing Telephone | 8502670030 |
| Mailing Fax Number | 8502670034 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | SUSANNE E BABER (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 8502670030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
803 | CO | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MEMORY BRIDGING INCORPORATED | 3600 Preserve Lane, Destin, FL 32550 |
| Street Address |
16154 ROCK CRYSTAL DR |
| City | PARKER |
| State | CO |
| Zip Code | 80134-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376892356 | Jane Ambro | Social Worker | 16154 Rock Crystal Dr, Parker, CO 80134-3305 | 2012-09-05 |
| 1124380779 | Xiomara Guadalupe Lee | Social Worker | 16154 Rock Crystal Dr, Parker, CO 80134-3305 | 2012-06-11 |
| 1235413931 | Erika Qualls Laing | Psychologist | 16154 Rock Crystal Dr, Parker, CO 80134-3305 | 2011-09-29 |
| 1710274733 | Hermine Cohen-bergen | Counselor | 16154 Rock Crystal Dr, Parker, CO 80134-3305 | 2011-06-29 |
| 1053601138 | Robert C Flores | Social Worker | 16154 Rock Crystal Dr, Parker, CO 80134-3305 | 2011-04-11 |
| 1760707426 | Katie Veronica Olson | Psychologist | 16154 Rock Crystal Dr, Parker, CO 80134 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785027 | Amy Lawson Moore | Psychologist | 5085 List Dr Ste 200c, Colorado Springs, CO 80919-3301 | 2020-06-19 |
| 1366066110 | Ione Renee Lafata | Psychologist | 31 Spruce Lake Dr, Divide, CO 80814-9757 | 2020-06-07 |
| 1104450394 | Sarah Ann Haider | Psychologist | 7120 E Orchard Rd Ste 305, Centennial, CO 80111-1734 | 2020-02-26 |
| 1417595976 | Deborah M Rosenberg Phd LLC | Psychologist | 3721 Evergreen Pkwy Ste 10, Evergreen, CO 80439-7774 | 2019-12-16 |
| 1174073274 | Rajmatie Hardial-hosein | Psychologist | 6755 Beech Ct, Arvada, CO 80004-2045 | 2016-10-12 |
| 1952752487 | Mariah Coe | Psychologist | 2001 S. Shields, Building K, Fort Collins, CO 80525 | 2016-06-27 |
| 1568842821 | Mariah E. Coe | Psychologist | 2339 Quartz St, Castle Rock, CO 80109-3668 | 2015-06-02 |
| 1588056006 | New Horizons/nuevos Horizontes | Psychologist | 11515 E Amherst Cir N, Aurora, CO 80014-3046 | 2015-02-20 |
| 1902213655 | Edward Phillip Mockus | Psychologist | 1032 N Lincoln Ave, Loveland, CO 80537-4989 | 2014-07-15 |
| 1871913533 | Loraine Jenness | Psychologist | 6890 Eagle Wing Dr, Colorado Springs, CO 80908-2702 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
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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.