DR. LEE W CLARK (NPI# 1497899272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497899272 |
| Entity Type | Individual |
| Full Name | DR. LEE W CLARK |
| Credential | M.D. |
| Practice Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Mailing Address |
2500 S Havana St Aurora CO 80014-1618 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25367 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KAISER-COMMERCIAL NUMBER | 007365 | 01 | |
| CO | 01253673 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053735464 | Lee Ann Clark | Registered Nurse | 15305 Waller Rd E, Tacoma, WA 98446-1533 | 2014-02-06 |
| 1215491048 | Lee Ann Clark | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2019-01-25 |
| 1790817948 | Lee Lani Clark | Counselor | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2007-03-12 |
| 1417910860 | Lee A Clark Jr. | Optometrist | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-07 |
| Street Address |
10350 E DAKOTA AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80247-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393118 | Teresa Bueche Kempfer | Family Medicine | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2005-08-15 |
| 1649814039 | Melissa S Lanham | Registered Nurse | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2019-10-30 |
| 1669015038 | Rachel Gomez | Case Manager/Care Coordinator | 10350 E Dakota Ave, Denver, CO 80247-1309 | 2019-10-17 |
| 1366930398 | Jo Anne Doherty | Clinical Nurse Specialist | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2018-04-25 |
| 1700301033 | Alysha Quinn | Social Worker | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2017-08-08 |
| 1831632991 | Ashley Greene Long | Nurse Practitioner | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2016-11-22 |
| 1073996880 | Kaiser Foundation Health Plan of Colorado | Health Maintenance Organization | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2015-06-30 |
| 1124412903 | Mardi L Mchugh | Social Worker | 10350 E Dakota Ave, Ste B, Denver, CO 80247-1314 | 2015-03-19 |
| 1205227535 | Geoffrey Urland | Specialist | 10350 E Dakota Ave, Regional Office, Customer Experience, 3rd Floor, Denver, CO 80247-1314 | 2015-02-09 |
| 1073901534 | Sierrah Danielle Knorp | Psychologist | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2015-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438555 | Tawanda D Moss | Technician, Pathology | 10105 E. Virgina Ave. 7-108, Denver, CO 80247 | 2020-08-18 |
| 1992320428 | Renate Petters | Behavior Technician | 1799 S. Dayton St., Building 2 Unit 237, Denver, CO 80247 | 2020-06-10 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1316462336 | Bonnie Doman | Acupuncturist | 9300 E Florida Ave Unit 401, Denver, CO 80247 | 2017-08-10 |
| 1235669847 | Met Transport | Non-emergency Medical Transport (VAN) | 630 S Dayton St, Apt 16-205, Denver, CA 80247 | 2017-06-15 |
| 1144752429 | Phoenix Medical Supply | Durable Medical Equipment & Medical Supplies | 7950 E. Missississippi Ave., Unit-d, Denver, CO 80247 | 2017-03-28 |
| 1023479730 | Francesca Celupica | Counselor | 9071 E Mississippi Ave 31c, Noesis: Integrated Psychotherapy Services, Denver, CO 80247 | 2016-03-09 |
| 1730544594 | Scs Assisted Living Denver Inc | Assisted Living Facility | 941 S Fulton St, Denver, CO 80247 | 2015-12-22 |
| 1538539382 | Alpine Limousine LLC | Non-emergency Medical Transport (VAN) | 9915 E Mexico Ave, Denver, CO 80247 | 2015-10-05 |
| 1528438082 | Yonas Tadesse Taye | Non-emergency Medical Transport (VAN) | 8680 E Alameda Ave Unit# 1606, Denver, CO 80247 | 2015-09-28 |
| Find all providers in zip 80247 | ||||
| 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 |
|---|---|---|---|---|
| 1639786445 | Eating Recovery Center | Psychiatry & Neurology | 8140 E. 5th Ave, Denver, CO 80230 | 2020-09-25 |
| 1023639929 | Lcl Wellness, LLC | Psychiatry & Neurology | 7550 W Yale Ave Ste A155, Denver, CO 80227-3487 | 2020-05-01 |
| 1255838348 | Ketamine Treatment Centers of Denver Pllc | Psychiatry & Neurology | 1355 S Colorado Blvd # C-304, Denver, CO 80222-3305 | 2018-04-06 |
| 1164861670 | John S. Graves, M.d., P.C. | Psychiatry & Neurology | 4770 E Iliff Ave. #228, Denver, CO 80222 | 2013-06-18 |
| 1932544723 | Callie Deann Montez | Psychiatry & Neurology | 425 S Cherry St Ste 620, Denver, CO 80246-1233 | 2013-05-07 |
| 1407113087 | Joshua Andrew Evans | Psychiatry & Neurology | 950 S Cherry St Ste 420, Denver, CO 80246-2664 | 2012-04-19 |
| 1790041143 | Akos Mersich | Psychiatry & Neurology | 4900 E Cherry Creek South Dr Ste E, Denver, CO 80246-2283 | 2012-04-10 |
| 1194098103 | Peter Mayerson | Psychiatry & Neurology | 2000 Little Raven St., #999, Denver, CO 80202-6199 | 2012-02-22 |
| 1699067603 | Cecile Audrey Mauge | Psychiatry & Neurology | 2611 Ivy St, Denver, CO 80207-3414 | 2011-05-09 |
| 1477858280 | Kristi L Cassleman | Psychiatry & Neurology | 7900 E 1st Ave Ste 200, Denver, CO 80230-7204 | 2011-01-26 |
| Find all providers in DENVER | ||||
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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.