ROBERT G BLECK (NPI# 1780700302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780700302 |
| Entity Type | Individual |
| Full Name | ROBERT G BLECK |
| Credential | MD |
| Practice Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
19765 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KAISER-COMMERCIAL NUMBER | 005414 | 01 | |
| CO | 01197656 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487751954 | Robert T Bleck | Counselor | 47 Helen Ave., Plainview, NY 11803 | 2006-09-19 |
| Street Address |
10350 E DAKOTA AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80247-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393118 | Teresa Bueche Kempfer | Family Medicine | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2005-08-15 |
| 1649814039 | Melissa S Lanham | Registered Nurse | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2019-10-30 |
| 1669015038 | Rachel Gomez | Case Manager/Care Coordinator | 10350 E Dakota Ave, Denver, CO 80247-1309 | 2019-10-17 |
| 1366930398 | Jo Anne Doherty | Clinical Nurse Specialist | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2018-04-25 |
| 1700301033 | Alysha Quinn | Social Worker | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2017-08-08 |
| 1831632991 | Ashley Greene Long | Nurse Practitioner | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2016-11-22 |
| 1073996880 | Kaiser Foundation Health Plan of Colorado | Health Maintenance Organization | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2015-06-30 |
| 1124412903 | Mardi L Mchugh | Social Worker | 10350 E Dakota Ave, Ste B, Denver, CO 80247-1314 | 2015-03-19 |
| 1205227535 | Geoffrey Urland | Specialist | 10350 E Dakota Ave, Regional Office, Customer Experience, 3rd Floor, Denver, CO 80247-1314 | 2015-02-09 |
| 1073901534 | Sierrah Danielle Knorp | Psychologist | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2015-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438555 | Tawanda D Moss | Technician, Pathology | 10105 E. Virgina Ave. 7-108, Denver, CO 80247 | 2020-08-18 |
| 1992320428 | Renate Petters | Behavior Technician | 1799 S. Dayton St., Building 2 Unit 237, Denver, CO 80247 | 2020-06-10 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1316462336 | Bonnie Doman | Acupuncturist | 9300 E Florida Ave Unit 401, Denver, CO 80247 | 2017-08-10 |
| 1235669847 | Met Transport | Non-emergency Medical Transport (VAN) | 630 S Dayton St, Apt 16-205, Denver, CA 80247 | 2017-06-15 |
| 1144752429 | Phoenix Medical Supply | Durable Medical Equipment & Medical Supplies | 7950 E. Missississippi Ave., Unit-d, Denver, CO 80247 | 2017-03-28 |
| 1023479730 | Francesca Celupica | Counselor | 9071 E Mississippi Ave 31c, Noesis: Integrated Psychotherapy Services, Denver, CO 80247 | 2016-03-09 |
| 1730544594 | Scs Assisted Living Denver Inc | Assisted Living Facility | 941 S Fulton St, Denver, CO 80247 | 2015-12-22 |
| 1538539382 | Alpine Limousine LLC | Non-emergency Medical Transport (VAN) | 9915 E Mexico Ave, Denver, CO 80247 | 2015-10-05 |
| 1528438082 | Yonas Tadesse Taye | Non-emergency Medical Transport (VAN) | 8680 E Alameda Ave Unit# 1606, Denver, CO 80247 | 2015-09-28 |
| Find all providers in zip 80247 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1205254182 | Elizabeth Fenstermacher | Psychiatry & Neurology | 777 Bannock St Dept Of, Denver, CO 80204-4507 | 2014-03-28 |
| 1467725333 | Gordon King Farley | Psychiatry & Neurology | 12015 E 46th Ave Ste 500, Denver, CO 80239-3133 | 2012-02-22 |
| 1356500292 | Susan Mary Vanscoyk-simon | Psychiatry & Neurology | 1616 17th Street Suite 578, Denver, CO 80202 | 2008-06-05 |
| 1114118742 | Adam S Burstein | Psychiatry & Neurology | 1731 E 16th Ave, Denver, CO 80218-1628 | 2007-08-08 |
| 1336355130 | Sascha Arbouet | Psychiatry & Neurology | 660 Bannock St Fl 5, Denver, CO 80204 | 2007-05-16 |
| 1700938990 | Mira Eklund | Psychiatry & Neurology | 455 Acoma St, Denver, CO 80204-5112 | 2007-01-17 |
| 1356409064 | Robert Lee Hernandez | Psychiatry & Neurology | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2006-12-05 |
| 1538244272 | Carolyn F. Munro | Psychiatry & Neurology | 4100 E Mississippi Ave Ste 600, Denver, CO 80246-3054 | 2006-10-25 |
| 1518479799 | Donna Vishnevetsky Md LLC | Psychiatry & Neurology | 3801 E Florida Ave, Denver, CO 80210-2571 | 2017-10-28 |
| 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.