Provider Demographics
NPI:1538050075
Name:ARCHWAY NEUROPSYCHOLOGICAL SERVICES PLLC
Entity type:Organization
Organization Name:ARCHWAY NEUROPSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:KACMARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-226-7048
Mailing Address - Street 1:1642 S GLENCOE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3916
Mailing Address - Country:US
Mailing Address - Phone:303-226-7048
Mailing Address - Fax:303-385-0074
Practice Address - Street 1:4100 E MISSISSIPPI AVE FL 4
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-3048
Practice Address - Country:US
Practice Address - Phone:303-226-7048
Practice Address - Fax:303-385-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health