Provider Demographics
NPI:1891052890
Name:SHAUNA L. CASEMENT, PSY D, P.C.
Entity Type:Organization
Organization Name:SHAUNA L. CASEMENT, PSY D, P.C.
Other - Org Name:CASEMENT AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAUNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASEMENT PSYD
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:303-300-2999
Mailing Address - Street 1:7555 E. HAMPDEN AVE #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:303-300-2999
Mailing Address - Fax:720-535-1934
Practice Address - Street 1:2121 S ONEIDA ST STE 540
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2554
Practice Address - Country:US
Practice Address - Phone:303-300-2999
Practice Address - Fax:720-535-1934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1976103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07019763Medicaid
CO07019763Medicaid
COC66846OtherMEDICARE PROVIDER NUMBER