Provider Demographics
NPI:1033782966
Name:INSIGHT PSYCHOLOGICAL SERVICES AND BIOFEEDBACK
Entity Type:Organization
Organization Name:INSIGHT PSYCHOLOGICAL SERVICES AND BIOFEEDBACK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:N
Authorized Official - Last Name:DOUBRAVA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:720-323-8634
Mailing Address - Street 1:200 S WILCOX ST PMB 142
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1913
Mailing Address - Country:US
Mailing Address - Phone:720-323-8634
Mailing Address - Fax:
Practice Address - Street 1:405 S WILCOX ST STE 104
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1957
Practice Address - Country:US
Practice Address - Phone:720-323-8634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty