MR. BRADY NEELY (NPI# 1720431539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720431539 |
| Entity Type | Individual |
| Full Name | MR. BRADY NEELY |
| Practice Address |
356 Shawnee Ln Superior CO 80027-9696 |
| Mailing Address |
1333 Iris Ave Boulder CO 80304-2226 |
| Practice Telephone | 8162254859 |
| Enumeration Date | 2016-07-16 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
0015560 | CO | Behavioral Health & Social Service Providers |
| Street Address |
356 SHAWNEE LN |
| City | SUPERIOR |
| State | CO |
| Zip Code | 80027-9696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| Find all providers in zip 80027 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255754156 | Robin Leigh Wheaton | Counselor | 33 N 25th St E, Superior, WI 54880-5269 | 2014-01-28 |
| 1699871756 | Steven A Engleson | Counselor | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 | 2006-09-16 |
| 1124586961 | Jacquelyn K. Lindberg | Counselor | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2019-03-12 |
| 1467859637 | Paige M Konrad | Counselor | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2014-12-03 |
| 1033427836 | Kathryn Everson | Counselor | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2010-09-15 |
| 1396063210 | Kathryn Akright | Counselor | 1500 N 34th St, Superior, WI 54880-4477 | 2010-05-17 |
| 1427208784 | Bridgeport Counseling | Counselor | 2231 Catlin Ave, Room #310, Superior, WI 54880-5137 | 2008-09-23 |
| 1083883128 | James M Geidner | Counselor | 1500 N 34th St, Suite 300, Superior, WI 54880-4477 | 2008-02-22 |
| 1548445778 | Timothy Lloyd Panula | Counselor | 2231 Catlin Ave, Suite #310, Superior, WI 54880-5137 | 2008-01-07 |
| 1164607305 | Katherine Marie Panula | Counselor | 2231 Catlin Ave, Suite #310, Superior, WI 54880-5137 | 2008-01-07 |
| Find all providers in SUPERIOR | ||||
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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.