Provider Demographics
NPI:1437924362
Name:UTOPIA PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:UTOPIA PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHESIA-MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUMAIN-OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-506-6132
Mailing Address - Street 1:1350 BEVERLY RD STE 115 BOX # 348
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3817 BURDETTE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3534
Practice Address - Country:US
Practice Address - Phone:303-506-6132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty