SOUTHEAST PSYCHIATRIC ASSOCIATES, INC. (NPI# 1447662739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447662739 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST PSYCHIATRIC ASSOCIATES, INC. |
| Practice Address |
19284 Cottonwood Dr Suite 202 Parker CO 80138-3882 |
| Mailing Address |
3979 E Arapahoe Rd Suite 200 Centennial CO 80122-2072 |
| Practice Telephone | 7204935467 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | DR. THEODORE HENDERSON (PRESIDENT) |
| Authorized Official Telephone | 7204931101 |
| Authorized Official Credential | M.D. PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
19284 COTTONWOOD DR SUITE 202 |
| City | PARKER |
| State | CO |
| Zip Code | 80138-3882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427066588 | Kajsa Harris | Family Medicine | 19284 Cottonwood Dr, Suite 204, Parker, CO 80138-3882 | 2006-08-04 |
| 1821631318 | Michael Joseph Brewer | Physical Therapist | 19284 Cottonwood Dr, Parker, CO 80138-3882 | 2019-10-28 |
| 1700397841 | Nicole M Remington | Physical Therapist | 19284 Cottonwood Dr, Parker, CO 80138-3882 | 2017-10-17 |
| 1093252645 | Michelle Ibarra | Speech-Language Pathologist | 19284 Cottonwood Dr, Parker, CO 80138-3882 | 2017-01-20 |
| 1588100275 | Annette Miriam Bachrach | Speech-Language Pathologist | 19284 Cottonwood Dr, Suite101, Parker, CO 80138-3882 | 2017-01-18 |
| 1649716820 | Danielle Doria Braman | Occupational Therapist | 19284 Cottonwood Dr, Suite 101, Parker, CO 80138-3882 | 2017-01-12 |
| 1851837058 | Michele Kohl | Physical Therapist | 19284 Cottonwood Dr, Suite 101, Parker, CO 80138-3882 | 2017-01-11 |
| 1679019905 | Stephanie Coe | Speech-Language Pathologist | 19284 Cottonwood Dr, Suite 101, Parker, CO 80138-3882 | 2017-01-10 |
| 1528504867 | Susan Vicksman | Speech-Language Pathologist | 19284 Cottonwood Dr, Suite 101, Parker, CO 80138-3882 | 2017-01-10 |
| 1750742359 | Children's Hospital Colorado | General Acute Care Hospital | 19284 Cottonwood Dr, Parker, CO 80138-3882 | 2016-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1568081198 | Dr. Trathen & Associates, PC | Clinic/Center | 19284 Cottonwood Dr., Suite 202, Parker, CO 80138 | 2020-04-14 |
| 1427601228 | Mendalyn Berry | Counselor | 19751 Mainstreet, Suite 395, Parker, CO 80138 | 2019-07-20 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1043737315 | Ponderosa Counseling Center LLC | Nurse Practitioner | 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 | 2017-08-27 |
| 1942674502 | Brittany Caitlin Peters | Occupational Therapist | 12169 S Hidden Trail Ct, Parker, CO 80138 | 2015-11-19 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| 1013328426 | Dena Dobbs | Dietitian, Registered | 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 | 2014-05-20 |
| 1811322092 | Aba At Legacy | Behavioral Analyst | 19751 E. Mainstreet Ste. 215, Parker, CO 80138 | 2013-09-06 |
| Find all providers in zip 80138 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518516277 | Denver Springs Physician Group LLC | Psychiatry & Neurology | 16830 Northgate Dr Ste 103, Parker, CO 80134-5778 | 2019-09-05 |
| 1043373723 | John Robert Tarr | Psychiatry & Neurology | 19284 E. Cottonwood Drive, Suite 202, Parker, CO 80138 | 2006-12-18 |
| 1871756353 | John Conrad Rudersdorf | Psychiatry & Neurology | 10350 Dransfeldt Rd, Suite 100, Parker, CO 80134-9673 | 2008-07-06 |
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| 1023639929 | Lcl Wellness, LLC | Psychiatry & Neurology | 7550 W Yale Ave Ste A155, Denver, CO 80227-3487 | 2020-05-01 |
| 1467087304 | Healthone Clinic Services - Behavioral Health LLC | Psychiatry & Neurology | 700 Potomac St Fl 3, Aurora, CO 80011-6844 | 2020-03-11 |
| 1942835897 | Northern Colorado Psychiatry LLC | Psychiatry & Neurology | 4786 Mcmurry Ave Unit 2b, Fort Collins, CO 80525-4499 | 2020-03-10 |
| 1912532268 | Healthone Clinic Services - Behavioral Health LLC | Psychiatry & Neurology | 14100 E Arapahoe Rd Ste 330, Centennial, CO 80112-4028 | 2020-03-06 |
| 1386276996 | Meredith Mealer | Psychiatry & Neurology | 808 S Public Rd Ste 102, Lafayette, CO 80026-2194 | 2020-02-11 |
| 1801435219 | Joseph Yeretsian, PC | Psychiatry & Neurology | 9191 Sheridan Blvd Ste 300, Westminster, CO 80031-3025 | 2020-01-02 |
| 1346882602 | Parkview Ancillary Services | Psychiatry & Neurology | 56 Club Manor Dr Ste 100, Pueblo, CO 81008-1685 | 2019-10-08 |
| 1376199059 | Brighter Day Psychiatry, PC | Psychiatry & Neurology | 4103 Boardwalk Dr Unit C, Fort Collins, CO 80525-5931 | 2019-08-17 |
| 1295206092 | Pinnacle Interventional Psychiatry | Psychiatry & Neurology | 1450 Hoyt St, Lakewood, CO 80215-4763 | 2018-12-06 |
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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.