JANE MICELI, MD PROF. LLC (NPI# 1730387994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730387994 |
| Entity Type | Organization |
| Organization Name | JANE MICELI, MD PROF. LLC |
| Practice Address |
3540 S Poplar St Suite 305 Denver CO 80237-1360 |
| Practice Telephone | 3036916842 |
| Practice Fax Number | 3033224540 |
| Mailing Telephone | 3036916842 |
| Mailing Fax Number | 3033224540 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | DR. JANE F. MICELI (OWNER/ SOLE PROPRIETER) |
| Authorized Official Telephone | 3036916842 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
30540 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP IDENTIFIER | 451368 | 01 | |
| INDIVIDUAL NPI | 1104907708 | 01 |
| Street Address |
3540 S POPLAR ST SUITE 305 |
| City | DENVER |
| State | CO |
| Zip Code | 80237-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230614 | Julie Ann Cohen | Physician Assistant | 3540 S Poplar St, Suite 200, Denver, CO 80237-1362 | 2005-07-28 |
| 1598165433 | Colorado Sleep Diagnostics LLC | Durable Medical Equipment & Medical Supplies | 3540 S Poplar St, 301, Denver, CO 80237-1360 | 2014-08-28 |
| 1881016285 | Christy Wilcox | Physical Therapist | 3540 S Poplar St, Suite Number 101, Denver, CO 80237-1360 | 2014-01-20 |
| 1225382153 | Amanda Andersen | Chiropractor | 3540 S Poplar St, #306, Denver, CO 80237-1360 | 2012-10-30 |
| 1366747016 | Craniofacial Pain Clinic PC | Dentist | 3540 S Poplar St, Ste 301, Denver, CO 80237-1360 | 2011-01-11 |
| 1144552902 | Susan L. Geersen | Chiropractor | 3540 S Poplar St, 303, Denver, CO 80237-1360 | 2010-02-04 |
| 1588833826 | Rocky Mountain Health Center South PC | Clinic/Center | 3540 S Poplar St, Suite 200, Denver, CO 80237-1362 | 2008-02-20 |
| 1063637247 | Suzanne Margaret Hamm | Psychologist | 3540 S Poplar St, #202, Denver, CO 80237-1360 | 2007-04-14 |
| 1437282647 | Kristopher Martin | Chiropractor | 3540 S Poplar St, Suite 306, Denver, CO 80237-1360 | 2007-03-14 |
| 1912035262 | Irene Maria Harris | Counselor | 3540 S Poplar St, Suite 202, Denver, CO 80237-1360 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386490 | Bridget Joy Roggow | Behavior Technician | Technology Way Apt 301, Denver, CO 80237 | 2020-08-14 |
| 1366085292 | Espire Dental Practice, LLC | Dentist | 8080 E Union Ave #140, Denver, CO 80237 | 2019-10-23 |
| 1861935512 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2510 S Flower St, Lakewood, CO 80237 | 2016-11-29 |
| 1144637372 | Robert Harling Di Carlo | Anesthesiology | 4083 So Wisteria Wy, Denver, CO 80237 | 2014-07-21 |
| 1750793386 | Jonathan Bautista | Physical Therapist | 8000 E Quincy Ave #1700, Sarahcare At Dtc, Denver, CO 80237 | 2014-06-02 |
| 1053740571 | Minjae An | Psychiatric Residential Treatment Facility | 4500 S Monaco Street Apt.1624, Denver, CO 80237 | 2013-11-05 |
| 1902240658 | Peter Nicholas Maniatis | Dentist | 4545 So. Monaco St., #444, Denver, CO 80237 | 2013-04-24 |
| 1114277480 | Logan Halliburton | Pharmacist | 8330 E Quincy Ave, A-309, Denver, CO 80237 | 2012-09-14 |
| 1770832016 | Healthpath, LLC | Clinic/Center | 3545 S. Tamarac Dr, Suite 170, Denver, CO 80237 | 2012-08-31 |
| 1790033322 | Seana B Medina | Acupuncturist | 3545 S Tamarac Dr., Ste #170, Denver, CO 80237 | 2012-08-29 |
| Find all providers in zip 80237 | ||||
| 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] |
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| 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 |
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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.