LARRY KHASHAYAR MORTAZAVI (NPI# 1386931186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386931186 |
| Entity Type | Individual |
| Full Name | LARRY KHASHAYAR MORTAZAVI |
| Credential | M.D. |
| Practice Address |
61 W Davies Ave N Littleton CO 80120-5252 |
| Mailing Address |
155 Inverness Dr W Ste. 200 Englewood CO 80112-5095 |
| Practice Telephone | 7207076363 |
| Mailing Telephone | 7207076363 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2016-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DR.0056807 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
61 W DAVIES AVE N |
| City | LITTLETON |
| State | CO |
| Zip Code | 80120-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548338213 | Alaina Marie Denike | Marriage & Family Therapist | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2006-12-01 |
| 1831704220 | Arapahoe Mental Health Center, Inc | Clinic/Center | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2020-09-11 |
| 1336754100 | Arapahoe Mental Health Center, Inc | Clinic/Center | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2020-09-09 |
| 1437764271 | Arapahoe Mental Health Center, Inc | Counselor | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2020-09-09 |
| 1316555766 | Amber Cheri Morse | Social Worker | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2020-07-21 |
| 1689215808 | Margaret Callahan | Social Worker | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2019-09-30 |
| 1932662822 | Jessica Parry | Social Worker | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2019-04-09 |
| 1134690316 | Kristin Elizabeth Foslid | Counselor | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2018-12-16 |
| 1184199051 | Melissa Joy Meli Reumann | Social Worker | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2018-10-08 |
| 1760966584 | Rachael Marie Valencia | Counselor | 61 W Davies Ave N, Littleton, CO 80120-5252 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
| 1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
| 1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
| 1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
| 1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
| 1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
| 1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
| 1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
| 1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
| 1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
| Find all providers in zip 80120 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174796759 | Chris Fanale, P.C. | Psychiatry & Neurology | 5270 S Estes Way, Littleton, CO 80123-7304 | 2008-04-03 |
| 1225162118 | Steven J Gulevich Md Neurology | Psychiatry & Neurology | 8601 W Cross Dr, F5-308, Littleton, CO 80123-0702 | 2007-03-15 |
| 1902919301 | Christopher William Nichols | Psychiatry & Neurology | 7780 S Broadway Ste 340, Littleton, CO 80122-2633 | 2006-08-17 |
| 1912915638 | Daniel W Koontz | Psychiatry & Neurology | 7780 S Broadway Ste 260, Littleton, CO 80122-2633 | 2006-08-04 |
| 1558335273 | Kamasamudram Ravilochan | Psychiatry & Neurology | 1001 W Mineral Ave, Littleton, CO 80120-4507 | 2006-02-17 |
| 1215299193 | Luisa Solis-cohen | Psychiatry & Neurology | 4 W Dry Creek Cir, Littleton, CO 80120-8060 | 2012-06-15 |
| 1982859096 | Rocky Mountains Neurodiagnostics | Psychiatry & Neurology | 7780 S Broadway, Suite 360, Littleton, CO 80122-2648 | 2008-11-18 |
| 1659435584 | Colorado Neurodiagnostics Pllc | Psychiatry & Neurology | 7780 S Broadway, Suite 260, Littleton, CO 80122-2648 | 2006-12-22 |
| 1578678314 | Gopalan Umashankar | Psychiatry & Neurology | 580 St. Johnsbury Rd., Littleton, NH 03561 | 2006-08-20 |
| 1710910732 | Peace of Mind Neurology, P.C. | Psychiatry & Neurology | 7720 S Broadway, Suite 150, Littleton, CO 80122-2632 | 2006-07-10 |
| Find all providers in LITTLETON | ||||
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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.