DR. KENNETH J. MCDONALD, PSY.D., LLC (NPI# 1861959355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861959355 |
| Entity Type | Organization |
| Organization Name | DR. KENNETH J. MCDONALD, PSY.D., LLC |
| Practice Address |
356 East Elkhorn Ave. Estes Park CO 80517 |
| Mailing Address |
9347 Sugarloaf Rd Boulder CO 80302-9221 |
| Practice Telephone | 4152649504 |
| Mailing Telephone | 4152649504 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | DR. KENNETH MCDONALD (OWNER) |
| Authorized Official Telephone | 4152649504 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Dr. Kenneth J. McDonald, PsyD, LLC | 9347 Sugarloaf Road, Boulder, CO 80302 |
| Street Address |
356 EAST ELKHORN AVE. |
| City | ESTES PARK |
| State | CO |
| Zip Code | 80517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863123 | Action Potential Health and Wellness | Counselor | 157 W Elkhorn Ave, Estes Park, CO 80517 | 2020-05-27 |
| 1992274856 | Park Hospital District | Clinic/Center | 420 Steamer Drive, Estes Park, CO 80517 | 2018-11-20 |
| 1912353145 | Deedra Ivie | Counselor | 880 Macgregor Ave., Estes Park, CO 80517 | 2016-05-06 |
| 1487029112 | Brandon Angus | Dentist | 131 Stanley Ave Ste 201, Estes Park, CO 80517 | 2015-12-07 |
| 1013284199 | Aspen Grove Counseling, LLC | Counselor | 356 E Elkhorn Ave, Suite 9, Estes Park, CO 80517 | 2011-11-17 |
| 1114227758 | Susan Jane Steele | Acupuncturist | 349 Mountain Ave, Berthoud, CO 80517 | 2010-10-29 |
| 1962716613 | Wendy Sarutzki | Acupuncturist | 191 West Riverside Drive, Unit B, Estes Park, CO 80517 | 2010-08-04 |
| 1518156918 | Lynn A. Harris, Psy.d., P.C. | Psychologist | 356 East Elkhorn Ave, Estes Park, CO 80517 | 2007-10-22 |
| 1821201856 | Cynthia Sisson | Physical Therapist | 555 Prospect Avenue, Estes Park, CO 80517 | 2007-05-07 |
| 1841313236 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 1901 Ptarmigan Trail, Estes Park, CO 80517 | 2007-04-09 |
| Find all providers in zip 80517 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009391 | Mindfulness Based Interventions LLC | Clinic/Center | 640 Sherman St., Unit H, Ridgway, CO 81432 | 2020-09-29 |
| 1447866876 | Wholehearted Therapy LLC | Clinic/Center | 7150 E Hampden Ave Ste 307, Denver, CO 80224-3057 | 2020-09-21 |
| 1902418965 | Klarisana Physician Services Pllc | Clinic/Center | 5005 W 81st Pl Ste 403, Westminster, CO 80031-7025 | 2020-08-20 |
| 1033736699 | A Phoenix Rising, LLC | Clinic/Center | 731 N Weber St Ste 211, Colorado Springs, CO 80903-1019 | 2020-06-30 |
| 1003433947 | Key Counseling, LLC. | Clinic/Center | 3705 Kipling, Optional, Wheat Ridge, CO 80033-8003 | 2020-06-26 |
| 1225653413 | Awake Mindful Therapy | Clinic/Center | 30922 Hilltop Dr, Evergreen, CO 80439-8762 | 2020-06-12 |
| 1154941540 | Galia R. Abadi Inc. | Clinic/Center | 4155 E Jewell Ave Ste 1004, Denver, CO 80222-4514 | 2020-04-25 |
| 1063047900 | Map and The Mirror Counseling, LLC | Clinic/Center | 911 Two Rivers Dr, Telluride, CO 81435-9152 | 2020-03-11 |
| 1306478961 | Specialized Alternatives for Families and Youth of Colorado, Inc. | Clinic/Center | 12500 E Iliff Ave Ste 110, Aurora, CO 80014-1268 | 2020-02-11 |
| 1508497348 | Josmar Trejo-sanchez | Clinic/Center | 2460 W 26th Ave Ste 217c, Denver, CO 80211-5312 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | ESTES PARK |
| Zip Code | 80517 |
Please comment or provide details below to improve the information on DR. KENNETH J. MCDONALD, PSY.D., LLC.
| 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.