DR. THOMAS BRADFORD DAVIDSON (NPI# 1720114986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720114986 |
| Entity Type | Individual |
| Full Name | DR. THOMAS BRADFORD DAVIDSON |
| Credential | PSYD |
| Practice Address |
8000 E Prentice Ave Suite B-4 Greenwood Village CO 80111-2744 |
| Practice Telephone | 3037968451 |
| Practice Fax Number | 3037412878 |
| Mailing Telephone | 3037968451 |
| Mailing Fax Number | 3037412878 |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 666-81 | CO | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
666-81 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07104490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295171858 | Thomas John Davidson Iv | Podiatrist | 1331 Hamilton Ter Se, Roanoke, VA 24014-1805 | 2013-05-21 |
| 1568553857 | Thomas Michael Davidson | Dentist | 58047 Van Dyke Rd, Suite# 101, Washington, MI 48094-4000 | 2006-09-28 |
| 1780795062 | Thomas Lawson Davidson Jr. | Dentist | 300 North Jefferson Street, Milledgeville, GA 31061 | 2006-08-31 |
| 1942319819 | Thomas John Davidson IIi | Family Medicine | 200 Office Park Drive, Gulf Shores, AL 36542-3432 | 2006-08-30 |
| 1275195471 | Thomas Davidson | Behavior Technician | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2019-07-08 |
| 1003382409 | Thomas C Davidson | Counselor | 120 S 3rd St, Yakima, WA 98901-2875 | 2018-10-23 |
| 1124247747 | Thomas Harold Davidson | Dentist | 202 Maple St, Ashland, OH 44805-3212 | 2007-04-24 |
| 1336141548 | Thomas W Davidson | Family Medicine | 8600 University Blvd, Rm Hp0091, Evansville, IN 47712-3534 | 2005-06-01 |
| Street Address |
8000 E PRENTICE AVE SUITE B-4 |
| City | GREENWOOD VILLAGE |
| State | CO |
| Zip Code | 80111-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740243948 | Deborah Mary Harrington | Acupuncturist | 8000 E Prentice Ave, Suite D-10, Greenwood Village, CO 80111-2744 | 2006-04-10 |
| 1093131229 | Creekside Skin Care, LLC. | Nurse Practitioner | 8000 E Prentice Ave, Suite D-10, Greenwood Village, CO 80111-2744 | 2014-03-12 |
| 1053665695 | Eva Bodoni Dds Professional LLC | Dentist | 8000 E Prentice Ave, Suite B-7, Greenwood Village, CO 80111-2744 | 2012-11-05 |
| 1720335482 | Jane Roseann Anderberg | Physical Therapist | 8000 E Prentice Ave, Suite C1, Greenwood Village, CO 80111-2744 | 2012-08-12 |
| 1336404698 | Beth Roberts Teeters | Marriage & Family Therapist | 8000 E Prentice Ave, Greenwood Village, CO 80111-2744 | 2012-07-11 |
| 1154698512 | Gratia L. Meyer, Phd LLC | Preferred Provider Organization | 8000 E Prentice Ave, Suite B-13, Greenwood Village, CO 80111-2744 | 2011-11-29 |
| 1669759346 | Douglas Bryan | Counselor | 8000 E Prentice Ave, Bldg. B Suite 13, Greenwood Village, CO 80111-2744 | 2011-11-09 |
| 1508146291 | Aaron Lee Johnson | Chiropractor | 8000 E Prentice Ave, A-2, Greenwood Village, CO 80111-2744 | 2011-08-25 |
| 1346529294 | Roots Chiropractic LLC | Chiropractor | 8000 E Prentice Ave, Suite A-2, Greenwood Village, CO 80111-2725 | 2011-08-10 |
| 1760761928 | Portercare Adventist Health System | Otolaryngology | 8000 E Prentice Ave, Ste D12, Greenwood Village, CO 80111-2744 | 2011-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485648 | Poudre Valley Medical Group, LLC | Clinical Neuropsychologist | 175 S Union Blvd Ste 240, Colorado Springs, CO 80910-3125 | 2020-07-27 |
| 1184102790 | Emily Claire Maxwell | Clinical Neuropsychologist | 10111 Inverness Main St Unit 417, Englewood, CO 80112-5727 | 2018-08-06 |
| 1356828776 | Samantha D Stein | Clinical Neuropsychologist | 50 S Steele St Ste 250, Denver, CO 80209-2802 | 2018-07-27 |
| 1255848321 | Jill Gitten Aloia | Clinical Neuropsychologist | 2501 Walnut St Ste 102, Boulder, CO 80302-5752 | 2018-01-10 |
| 1497265367 | Alicia Williams | Clinical Neuropsychologist | 400 S Mccaslin Blvd Ste 212, Superior, CO 80027-9701 | 2017-10-05 |
| 1689102568 | 2 Peaks Center for Neuro Psychology | Clinical Neuropsychologist | 2001 S Shields Street, Bldg A, Fort Collins, CO 80526-1827 | 2017-05-23 |
| 1487192076 | Icn Pllc | Clinical Neuropsychologist | 255 Canyon Blvd Ste 300-f, Boulder, CO 80302-4979 | 2017-02-03 |
| 1972048098 | Neurofeedback Colorado Springs, Inc. | Clinical Neuropsychologist | 2918 Beacon St Ste A, Colorado Springs, CO 80907-9208 | 2016-12-28 |
| 1720537467 | Zachary Sussman | Clinical Neuropsychologist | 2501 Walnut St Ste 104, Boulder, CO 80302-5752 | 2016-09-22 |
| 1053781401 | Valerie Sims | Clinical Neuropsychologist | 11705 Airport Way, Suite 301, Broomfield, CO 80021-2706 | 2015-09-28 |
| Find all providers with the same taxonomy | ||||
| City | GREENWOOD VILLAGE |
| Zip Code | 80111 |
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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.