DR. DESMOND ALAN WALLINGTON (NPI# 1831420207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831420207 |
| Entity Type | Individual |
| Full Name | DR. DESMOND ALAN WALLINGTON |
| Other Name | DR. DESMOND ALAN HARLESS |
| Credential | PHD, LP, LPC |
| Practice Address |
1440 Vine St Denver CO 80206-2016 |
| Mailing Address |
4860 Robb St Suite 201 Wheat Ridge CO 80033-2184 |
| Practice Telephone | 5802424675 |
| Mailing Telephone | 8889486789 |
| Mailing Fax Number | 8883415050 |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2017-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
OK | Behavioral Health & Social Service Providers | |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY.0004105 | CO | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
1195 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | CAQH | 12229434 | 01 |
| CO | CAQH | 12229434 | 01 |
| OK | 200442840B | 05 | |
| CO | 28203372 | 05 | |
| CO | PROFESSIONAL LICENSE | PSY.0004105 | 01 |
| OK | PROFESSIONAL LICENSE--PSYCHOLOGIST | 1195 | 01 |
| OK | PROFESSIONAL LICENSE--LPC | 4395 | 01 |
| OK | 200442840A | 05 |
| Street Address |
1440 VINE ST |
| City | DENVER |
| State | CO |
| Zip Code | 80206-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790759843 | Oliver Gysin | Psychologist | 1440 Vine St, Briarwood, Denver, CO 80206-2016 | 2006-02-15 |
| 1588296214 | Joseph Leon Grossman | Social Worker | 1440 Vine St, Denver, CO 80206-2016 | 2020-02-11 |
| 1851489611 | Kathleen Hughes | Social Worker | 1440 Vine St, Denver, CO 80206-2016 | 2006-10-10 |
| 1437167152 | Life Care Centers of America, Inc. | Respite Care | 1440 Vine St, Denver, CO 80206-2016 | 2006-08-05 |
| 1770513400 | Renal Nurse Associates, LLC | Clinic/Center | 1440 Vine St, Denver, CO 80206-2016 | 2006-07-05 |
| 1780632133 | Thomas J Blanchard | Family Medicine | 1440 Vine St, Denver, CO 80206-2016 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| 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.