THIRD WAY CENTER, INC. (NPI# 1992844625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992844625 |
| Entity Type | Organization |
| Organization Name | THIRD WAY CENTER, INC. |
| Practice Address |
1735 Pontiac St Denver CO 80220-1831 |
| Mailing Address |
Po Box 61385 Denver CO 80206-8385 |
| Practice Telephone | 3033883545 |
| Practice Fax Number | 3033886575 |
| Mailing Telephone | 3037809191 |
| Mailing Fax Number | 3037809192 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID EISNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3037809191 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 65346 | CO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 29678536 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225263593 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9100 E Lowry Blvd, Lowry Sprout, Denver, CO 80230-6935 | 2009-05-15 |
| 1841473915 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9100 E Lowry Blvd., Denver, CO 80230-6935 | 2007-12-12 |
| 1114066859 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1295 York St, Denver, CO 80206-3008 | 2007-02-06 |
| 1184763864 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1133 Lincoln St, Denver, CO 80203-2110 | 2007-02-06 |
| Street Address |
1735 PONTIAC ST |
| City | DENVER |
| State | CO |
| Zip Code | 80220-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076814 | Sarah Elizabeth Trapp | Counselor | 1735 Pontiac St, Denver, CO 80220-1831 | 2019-11-06 |
| 1174088769 | Wesley Ryan Pruitt | Counselor | 1735 Pontiac St, Denver, CO 80220-1831 | 2019-02-07 |
| 1265791339 | Michael Allen Webb | Counselor | 1735 Pontiac St, Denver, CO 80220-1831 | 2012-05-10 |
| 1164738837 | Shannon M Stillman | Social Worker | 1735 Pontiac St, Denver, CO 80220-1831 | 2010-08-19 |
| 1437479227 | Daiquiri Lynn Cade-kovalcik | Counselor | 1735 Pontiac St, Denver, CO 80220-1831 | 2010-06-03 |
| 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 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225263593 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9100 E Lowry Blvd, Lowry Sprout, Denver, CO 80230-6935 | 2009-05-15 |
| 1841473915 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9100 E Lowry Blvd., Denver, CO 80230-6935 | 2007-12-12 |
| 1326269390 | Court House Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3640 W Princeton Cir, Denver, CO 80236-3109 | 2007-05-01 |
| 1356471718 | Friends of Children | Residential Treatment Facility, Emotionally Disturbed Children | 2950 Tennyson St, Denver, CO 80212 | 2007-03-06 |
| 1114066859 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1295 York St, Denver, CO 80206-3008 | 2007-02-06 |
| 1184763864 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1133 Lincoln St, Denver, CO 80203-2110 | 2007-02-06 |
| 1801900238 | Mount St. Vincent Home | Residential Treatment Facility, Emotionally Disturbed Children | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2006-08-19 |
| 1467469312 | Denver Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1501 Albion St, Denver, CO 80220-1028 | 2006-08-02 |
| 1821479122 | Individual Provider | Residential Treatment Facility, Emotionally Disturbed Children | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2015-06-11 |
| 1902298284 | Elizabeth O'brodo | Residential Treatment Facility, Emotionally Disturbed Children | 2950 Tennyson St, Denver, CO 80212-3029 | 2015-02-24 |
| 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.