ALLISON R GRODZKI


Address: 6363 W 120th Ave Ste 200, Broomfield, CO 80020-2406
Phone: 7203773250

ALLISON R GRODZKI (NPI# 1770969305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770969305
Entity Type Individual
Full Name ALLISON R GRODZKI
Other Name ALLIE DERANEY
Credential PSY.D.
Practice Address 6363 W 120th Ave Ste 200
Broomfield
CO 80020-2406
Practice Telephone 7203773250
Mailing Telephone 7203773250
Enumeration Date 2015-08-05
Last Update Date 2019-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
5014 CO Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2480 W 26th Ave Ste 10b, Denver, CO 802115311 7203773250

Office Location

Street Address 6363 W 120TH AVE STE 200
City BROOMFIELD
State CO
Zip Code 80020-2406

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801413166 Sarah Lynn Schwarz Psychologist 11775 Wadsworth Blvd Apt 4205, Broomfield, CO 80020-2760 2020-07-02
1710210331 Kamila Maria Cass Psychologist 4522 Longs Ct, Broomfield, CO 80023 2009-09-15
1740384114 Cmaureen Cole Psychologist 2095 W 6th Ave Ste 206, Broomfield, CO 80020-1880 2006-09-07
1235247677 Margaret A Theeman Psychologist 740 Burbank, Broomfield, CO 80020 2006-08-27
1952418105 Mark Vlosky Psychologist 11811 Upham St, Ste C, Broomfield, CO 80020-2777 2006-08-24
1295849735 Lois K Vanderkooi Psychologist 710 Burbank St, Broomfield, CO 80020-1658 2006-08-19
1750373569 Ani S. Liggett Psychologist 740 Burbank St, Broomfield, CO 80020-1658 2005-08-17
1619451341 Angelo Nicholas Alago Psychologist 1022 Depot Hill Rd, Broomfield, CO 80020-1068 2018-09-19
1003275439 Indepth Therapy, LLC Psychologist 1008 Depot Hill Rd Ste 200, Broomfield, CO 80020-6724 2016-02-12
1225409618 Rocky Mountain Behavioral Medicine, LLC Psychologist 11705 Airport Way, Suite 301, Broomfield, CO 80021-2706 2015-10-12
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Competitor

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City BROOMFIELD
Zip Code 80020

Improve Information

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Dataset Information

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.

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