DEBORAH M ROSENBERG PHD LLC (NPI# 1417595976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417595976 |
| Entity Type | Organization |
| Organization Name | DEBORAH M ROSENBERG PHD LLC |
| Practice Address |
3721 Evergreen Pkwy Ste 10 Evergreen CO 80439-7774 |
| Mailing Address |
Po Box 5414 Frisco CO 80443-5414 |
| Practice Telephone | 3036950499 |
| Mailing Telephone | 3039215176 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | DR. DEBORAH M ROSENBERG (OWNER) |
| Authorized Official Telephone | 3036950499 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 W. Main Street, Suite 306, Frisco, CO 80443 | 9706688324 |
| Street Address |
3721 EVERGREEN PKWY STE 10 |
| City | EVERGREEN |
| State | CO |
| Zip Code | 80439-7774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134351 | Mary Elizabeth Pruet | Speech-Language Pathologist | 26284 Grand Summit Trl, Evergreen, CO 80439 | 2018-05-15 |
| 1821511031 | Marie Ann St. Denis | Acupuncturist | 27919 Alabraska Lane, Evergreen, CO 80439 | 2017-07-19 |
| 1285173203 | Natalie Mannon Ibrahim | Physician Assistant | 30940 Stagecoach Blvd, Ste E290, Elk Ridge Family Physicians, Inc, Evergreen, CO 80439 | 2017-02-23 |
| 1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
| 1831640291 | Bear Creek Mental Health LLC | Community/Behavioral Health | 4911 Plettner Ln, Ste 210, Evergreen, CO 80439 | 2016-10-20 |
| 1164971974 | Animal-assisted Therapy of The Mountain Communities | Counselor | 28000 Meadow Dr Suite 105, Evergreen, CO 80439 | 2016-09-22 |
| 1093191793 | Jennifer Schreiber | Occupational Therapist | 1659 Stoneham Lane, Evergreen, CO 80439 | 2015-08-04 |
| 1366879371 | Victoria Carleen Bown | Physical Therapist | 32003 Ellingwood Trail, Evergreen, CO 80439 | 2013-10-04 |
| 1235563867 | Sharon Bland Morgan | Registered Nurse | 5435 So. Twinspruce Rd., Evergreen, CO 80439 | 2013-08-30 |
| 1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
| Find all providers in zip 80439 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003121898 | Crystal Wildes | Psychologist | 4611 Plettner Ln, Ste. 100, Evergreen, CO 80439-7396 | 2010-08-17 |
| 1285877100 | Karrie Ann Lyons-sjostrom | Psychologist | 29029 Upper Bear Creek Rd Ste 301, Evergreen, CO 80439-7738 | 2009-04-07 |
| 1104009620 | Jonathan Keith Brooks | Psychologist | 29029 Upper Bear Creek Rd Ste 305, Evergreen, CO 80439-7722 | 2007-12-06 |
| 1619176138 | Randy D. Whitesell | Psychologist | 29029 Upper Bear Creek Rd Ste 303, Evergreen, CO 80439-7722 | 2007-07-14 |
| 1073680948 | Terry Michael Levy | Psychologist | 32065 Castle Ct, Ste 325 Evergreen Psychotherapy Ctr, Evergreen, CO 80439 | 2006-11-29 |
| 1003138140 | Terry M. Levy,ph.d.,p.a. | Psychologist | 32065 Castle Ct, Suite 325, Evergreen, CO 80439-9586 | 2010-02-16 |
| 1932438496 | Arnon Katz | Psychologist | 1202 Bergen Pkwy, Suite 200, Evergreen, CO 80439-9588 | 2009-12-12 |
| 1487819157 | Teri L Heines | Psychologist | 29029 Upper Bear Creek Rd, Suite 301, Evergreen, CO 80439-7738 | 2008-07-22 |
| 1366612921 | Jonathan K. Brooks Phd PC | Psychologist | 29029 Upper Bear Creek Rd, #305, Evergreen, CO 80439-7738 | 2008-03-10 |
| 1740293497 | Heidi Faith Saltzman | Psychologist | 28000 Meadow Dr, Unit 9, Evergreen, CO 80439-2116 | 2006-08-14 |
| Find all providers in EVERGREEN | ||||
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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.