BRIAN L BAGWELL (NPI# 1902023062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902023062 |
| Entity Type | Individual |
| Full Name | BRIAN L BAGWELL |
| Credential | PSYD |
| Practice Address |
1501 Albion St Denver CO 80220-1028 |
| Practice Telephone | 3033994890 |
| Mailing Telephone | 3033994890 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2809 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 46838848 | 05 |
| Street Address |
1501 ALBION ST |
| City | DENVER |
| State | CO |
| Zip Code | 80220-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467469312 | Denver Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1501 Albion St, Denver, CO 80220-1028 | 2006-08-02 |
| 1629684071 | Lauren Renee Hamilton | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2020-09-21 |
| 1386272953 | Carly Elizabeth Keaten | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2020-03-30 |
| 1841703279 | Elizabeth Thompson | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2017-11-07 |
| 1841749587 | Myriam Reynolds | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2016-09-22 |
| 1952858458 | Rebecca Hea | Psychologist | 1501 Albion St, Denver, CO 80220-1028 | 2016-09-01 |
| 1093101669 | Marisa A Gullicksrud | Social Worker | 1501 Albion St, Denver, CO 80220-1028 | 2015-04-10 |
| 1336546241 | Carly Walters | Psychologist | 1501 Albion St, Denver, CO 80220-1028 | 2014-11-21 |
| 1043594989 | Kate Nielsen | Social Worker | 1501 Albion St, Denver, CO 80220-1028 | 2011-10-10 |
| 1326347477 | Alison Files Winterle | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2011-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1669005922 | Kate Klein Mcgoldrick | Psychologist | 495 Uinta Way Ste 220, Denver, CO 80230-7198 | 2020-02-14 |
| 1952962847 | Denver Dbt & Psychotherapy | Psychologist | 2150 W 29th Ave Ste 320, Denver, CO 80211-3889 | 2019-06-22 |
| 1619534351 | Angela Jeanne Narayan | Psychologist | 2155 S Race St Frontier Hall Department of Psychology, Denver, CO 80208-0001 | 2019-05-28 |
| 1912464777 | Colorado Seminary | Psychologist | 1999 E. Evans Avenue, Attn: Andi Pusavat, Krh Rm. 145, Denver, CO 80208 | 2019-02-27 |
| 1801353123 | Nanci Avitable | Psychologist | 7535 E Hampden Ave Ste 400, Denver, CO 80231-4844 | 2019-02-22 |
| 1376020164 | Jessica Flitter | Psychologist | 1000 Kearney St, Denver, CO 80220-4528 | 2018-07-24 |
| 1174017891 | Gameplan Therapy Inc | Psychologist | 2443 S University Blvd Ste 115, Denver, CO 80210-5407 | 2018-06-16 |
| 1801395488 | Andrea Pusavat | Psychologist | 1999 E. Evans Ave., Denver, CO 80208 | 2018-02-08 |
| 1679089775 | Zachary Wroe Sussman | Psychologist | 5243 Willow Way, Denver, CO 80238-3890 | 2017-12-27 |
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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.