Provider Demographics
NPI:1518131192
Name:AFFILIATED THERAPISTS, INC
Entity Type:Organization
Organization Name:AFFILIATED THERAPISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-643-8633
Mailing Address - Street 1:7555 E. HAMPDEN #535
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4836
Mailing Address - Country:US
Mailing Address - Phone:303-358-1455
Mailing Address - Fax:720-535-1934
Practice Address - Street 1:24000 US HIGHWAY 40
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-9318
Practice Address - Country:US
Practice Address - Phone:303-643-8633
Practice Address - Fax:303-526-1669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO302103TC0700X
CO#302103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82426Medicare PIN