Provider Demographics
NPI:1609327295
Name:ADAPTIVE INTERVENTIONS LLC
Entity Type:Organization
Organization Name:ADAPTIVE INTERVENTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAROFFIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-706-9722
Mailing Address - Street 1:5420 S QUEBEC ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1904
Mailing Address - Country:US
Mailing Address - Phone:303-706-9722
Mailing Address - Fax:866-883-6051
Practice Address - Street 1:5420 S QUEBEC ST
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1904
Practice Address - Country:US
Practice Address - Phone:303-706-9722
Practice Address - Fax:866-883-6051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TA0400X
CO0001973103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty