MAHROKH SHAYANPOUR (NPI# 1992120935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992120935 |
| Entity Type | Individual |
| Full Name | MAHROKH SHAYANPOUR |
| Credential | MD |
| Practice Address |
777 Bannock St Denver CO 80204 |
| Mailing Address |
777 Bannock St Denver CO 80204-4507 |
| Practice Telephone | 3036026386 |
| Mailing Telephone | 3036026386 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
0058512 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
777 BANNOCK ST |
| City | DENVER |
| State | CO |
| Zip Code | 80204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941735 | Teresa A Wilcox | Nurse Practitioner | 777 Bannock St, Mc 1914, Denver, CO 80204-4507 | 2005-06-13 |
| 1437765997 | Nekol R Daley | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-09-21 |
| 1386261535 | Ivori Alexandria Zvorsky | Student in an Organized Health Care Education/Training Program | 777 Bannock St, Denver, CO 80204-4507 | 2020-07-02 |
| 1770100166 | Rachel Christina Corey-pacheco | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-07-01 |
| 1205450202 | Jeff Foster | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-06-04 |
| 1558990697 | Alana Byrnes | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-04-01 |
| 1437785862 | Brian James Wang | Physician Assistant | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-17 |
| 1881220648 | Marina Elyse Payne | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-12 |
| 1649805649 | Karin Gallup | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-10 |
| 1184259178 | Heather Krohn | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
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| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336205137 | Jane A. Kennedy | Psychiatry & Neurology | 1894 Vine St, Denver, CO 80206-1122 | 2006-12-28 |
| 1134754484 | Healthone Clinic Services - Behavioral Health LLC | Psychiatry & Neurology | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-03-06 |
| 1013336452 | Katherine Riva | Psychiatry & Neurology | 777 Bannock St, Denver, CO 80204 | 2014-04-14 |
| 1851683387 | Dayan Dachel Colon-sanchez | Psychiatry & Neurology | 777 Bannock St, Denver Health Medical Center (obhs 2nd Floor) Pav K, Denver, CO 80204-4507 | 2011-05-03 |
| 1033258744 | Kenneth L Weiner | Psychiatry & Neurology | 950 South Cherry Street, Suite 1010, Denver, CO 80246 | 2007-02-06 |
| 1235214131 | Charles Keyu Park | Psychiatry & Neurology | 8158 E 5th Ave, Suite 200, Denver, CO 80230-6444 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164896866 | The Texan Recovery | Psychiatry & Neurology | 860 Co Rd 142, Lake City, CO 81235 | 2015-11-18 |
| 1801956982 | Maria Katherine Mcgrane | Psychiatry & Neurology | 610 Garrison St, Suite U, Lakewood, CO 80215-5898 | 2006-12-11 |
| 1306472568 | National Mental Health Management, LLC | Psychiatry & Neurology | 4704 Harlan St Ste 103, Wheat Ridge, CO 80212-7411 | 2020-03-19 |
| 1154956407 | Healthone Clinic Services - Behavioral Health LLC | Psychiatry & Neurology | 14200 E Arapahoe Rd, Centennial, CO 80112-4065 | 2020-03-06 |
| 1972138220 | Healthone Clinic Services - Behavioral Health LLC | Psychiatry & Neurology | 1501 S Potomac St, Aurora, CO 80012-5411 | 2020-03-06 |
| 1699329649 | Arahant Mental Wellness | Psychiatry & Neurology | 7525 W 10th Ave, Suite 200, Lakewood, CO 80214 | 2019-07-29 |
| 1194183020 | Agami Health Services LLC | Psychiatry & Neurology | 3000 S Jamaica Ct, Suite 210, Aurora, CO 80014 | 2016-02-06 |
| 1891051090 | Alexis Dora Ritvo | Psychiatry & Neurology | 1693 Quentin St, Aurora, CO 80045-2518 | 2012-04-02 |
| 1356634323 | Ruth Marie Huhn | Psychiatry & Neurology | 3400 Lutheran Pkwy, Wheat Ridge, CO 80033-6035 | 2011-05-24 |
| 1396064010 | Alexis Christina Carrington | Psychiatry & Neurology | 1693 Quentin St, Aurora, CO 80045 | 2010-05-19 |
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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.