DR. DENNIS L. WACK (NPI# 1487606497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487606497 |
| Entity Type | Individual |
| Full Name | DR. DENNIS L. WACK |
| Credential | PH.D. |
| Practice Address |
4045 Wadsworth Blvd # 308 Wheat Ridge CO 80033-4642 |
| Practice Telephone | 3034211896 |
| Practice Fax Number | 3032373589 |
| Mailing Telephone | 3034211896 |
| Mailing Fax Number | 3032373589 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 1083 | CO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1083 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4045 WADSWORTH BLVD # 308 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-4642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915826 | Joseph P Scherber | Dentist | 4045 Wadsworth Blvd, Suite 103, Wheat Ridge, CO 80033-4642 | 2005-07-14 |
| 1356769228 | Jennifer Lynne Riegel | Physical Therapist | 4045 Wadsworth Blvd, Suite #10, Wheat Ridge, CO 80033-4642 | 2014-03-28 |
| 1922420389 | Christopher Coppedge | Massage Therapist | 4045 Wadsworth Blvd, Suite 270, Wheat Ridge, CO 80033-4642 | 2014-01-20 |
| 1225469729 | Shannon Merriman | Physical Therapist | 4045 Wadsworth Blvd, Wheat Ridge, CO 80033-4642 | 2013-12-09 |
| 1598107153 | John B Woodward IIi Md PC | Psychiatry & Neurology | 4045 Wadsworth Blvd, Suite 311, Wheat Ridge, CO 80033-4642 | 2013-07-24 |
| 1457606204 | Diana Elizabeth Maier | Community Health Worker | 4045 Wadsworth Blvd, Suite 20, Wheat Ridge, CO 80033-4642 | 2012-07-18 |
| 1831452242 | Alexandra Claire Reed | Counselor | 4045 Wadsworth Blvd, Suite 20, Wheat Ridge, CO 80033-4642 | 2012-06-20 |
| 1043504194 | Advanced Wound Care PC LLC | Physical Therapist | 4045 Wadsworth Blvd, Suite 10, Wheat Ridge, CO 80033-4642 | 2011-06-07 |
| 1699095190 | Mountainoccupationalmedicine LLC | Clinic/Center | 4045 Wadsworth Blvd, Suite #311, Wheat Ridge, CO 80033-4642 | 2010-06-07 |
| 1275869158 | Avicenna Medical Supply | Durable Medical Equipment & Medical Supplies | 4045 Wadsworth Blvd, Unit # 308, Wheat Ridge, CO 80033-4642 | 2009-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629409354 | George Butler | Psychologist | 4860 Robb St, Suite 201, Wheat Ridge, CO 80033-2184 | 2013-12-05 |
| 1629220645 | Dianna Gwendolyn Ducote-sabey | Psychologist | 5810 W 38th Ave, Ste 9, Wheat Ridge, CO 80212-7173 | 2008-10-22 |
| 1275672107 | Karen V. Zelie | Psychologist | 12495 W.32nd Ave., Wheat Ridge, CO 80033-5288 | 2007-02-06 |
| 1700975166 | Lora Catherine Eiswerth-cox | Psychologist | 6500 W 44th Ave, Wheat Ridge, CO 80033-4736 | 2006-10-12 |
| 1255446654 | Ben Mccracken | Psychologist | 4500 Wadsworth Blvd, Wheat Ridge, CO 80033-3304 | 2006-08-19 |
| 1487034732 | Sarah Brooke Scott | Psychologist | 4860 Robb St Ste 201, Wheat Ridge, CO 80033-2162 | 2015-06-02 |
| 1629476593 | Erin Baurle Dunsworth | Psychologist | 7495 W 29th Ave, Wheat Ridge, CO 80033-8002 | 2014-12-09 |
| 1225440977 | Caitlin Stell | Psychologist | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2014-05-29 |
| 1134478035 | Briana Marie Johannesen | Psychologist | 7495 W 29th Ave, Wheat Ridge, CO 80033 | 2012-09-06 |
| 1699057372 | Kelly E Naylor | Psychologist | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2011-09-19 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on DR. DENNIS L. WACK.
| 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.