COLORADO MENTAL WELLNESS COLLECTIVE, PLLC


Address: 5912 S Cody St Ste 110, Littleton, CO 80123-9541
Phone: 3038729097

COLORADO MENTAL WELLNESS COLLECTIVE, PLLC (NPI# 1427668797) 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) 1427668797
Entity Type Organization
Organization Name COLORADO MENTAL WELLNESS COLLECTIVE, PLLC
Practice Address 5912 S Cody St Ste 110
Littleton
CO 80123-9541
Practice Telephone 3038729097
Mailing Telephone 3038729097
Enumeration Date 2020-08-03
Last Update Date 2020-08-18
Authorized Official Name DR. ASHLEY JARVIS (LICENSED CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 3038729097
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 5912 S CODY ST STE 110
City LITTLETON
State CO
Zip Code 80123-9541

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1285124461 Ann Randolph Donald Psychologist 91 Matawanakee Trl, Littleton, MA 01460-1310 2018-05-14
1588099816 Caroline Dorney Marvin Psychologist 304 Harwood Ave, Littleton, MA 01460-1625 2013-09-05
1144531906 Rebekah Kilman Psychologist 111 Saranac St Ste 3, Littleton, NH 03561-4090 2010-06-27
1356541130 Jeffrey Brian Caster Psychologist 1950 W Littleton Blvd, Littleton Station - Suite 117, Littleton, CO 80120-2023 2007-07-20
1619192267 Frank J. Benison Psychologist 19 Lindenwood Dr, Littleton, CO 80120-4148 2007-04-16
1386789212 Johanna Mieke Molnar Sandis Psychologist 9200 W Cross Dr Ste 225, Littleton, CO 80123-0700 2007-02-20
1902956113 Gary L Coats Phd Pa Psychologist 8361 S Sangre De Cristo Road, Suite 210, Littleton, CO 80127 2007-01-11
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Competitor

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City LITTLETON
Zip Code 80123

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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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