DR. JACQUELINE RENEE MORENO (NPI# 1740799287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740799287 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE RENEE MORENO |
| Credential | PH.D. |
| Practice Address |
1756 N High St Denver CO 80218-1300 |
| Practice Telephone | 3033888144 |
| Mailing Telephone | 3033888144 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3973 | CO | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
3973 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822881 | Jacqueline Moreno | Massage Therapist | 11276 Sw 90th Ln, Miami, FL 33176-1168 | 2019-10-10 |
| 1447898234 | Jacqueline Moreno | Behavior Technician | 9600 Nw 25th St Ste Ph, Doral, FL 33172-1416 | 2019-12-12 |
| 1568003390 | Jacqueline Marie Moreno | Behavioral Analyst | 3610 Snell Ave, San Jose, CA 95136-1305 | 2019-10-02 |
| 1659748135 | Jacqueline Joanna Moreno | Rehabilitation Practitioner | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2015-08-31 |
| Street Address |
1756 N HIGH ST |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373621 | Colorado Springs Psychological Services | Psychologist | 6000 E Evans Ave Ste 350, Denver, CO 80222-5406 | 2020-10-12 |
| 1629676804 | Suzanne Beth Schimmel Cooper | Psychologist | 8158 E 5th Ave Ste 270, Denver, CO 80230-6446 | 2020-10-11 |
| 1336746429 | Alexis Emich | Psychologist | 950 S Cherry St Ste 421, Denver, CO 80246-2665 | 2020-10-02 |
| 1043821986 | Wendy M Cowperthwaite | Psychologist | 1720 S Bellaire St Ste 900, Denver, CO 80222-4333 | 2020-08-13 |
| 1649892704 | Erin E Shrago | Psychologist | 600 S Cherry St Ste 1111, Denver, CO 80246-1716 | 2020-05-12 |
| 1639700677 | Karen Rosica | Psychologist | 2000 Little Raven St Unit 302, Denver, CO 80202-6134 | 2020-01-29 |
| 1811451644 | Lisa May Brownstone | Psychologist | 4340 E Kentucky Ave Ste 451, Denver, CO 80246-2079 | 2019-01-25 |
| 1821592098 | Charles D. Glass, Ph.d., LLC | Psychologist | 1777 S Bellaire St Ste 160, Denver, CO 80222-4314 | 2018-03-21 |
| 1457854507 | Jessica Anne Reyka | Psychologist | 1739 N Gilpin St Apt 102, Denver, CO 80218-1232 | 2018-03-15 |
| 1376057695 | David Shanley Psyd, LLC | Psychologist | 1776 S Jackson St Ste 800, Denver, CO 80210-3807 | 2017-11-22 |
| 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.