Provider Demographics
NPI:1205478757
Name:COLORADO THERAPY & ASSESSMENT CENTER
Entity type:Organization
Organization Name:COLORADO THERAPY & ASSESSMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST, OWNER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JANEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-515-4244
Mailing Address - Street 1:1777 S BELLAIRE ST
Mailing Address - Street 2:SUITE 390
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:720-515-4244
Mailing Address - Fax:720-441-0448
Practice Address - Street 1:8461 TURNPIKE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031
Practice Address - Country:US
Practice Address - Phone:720-515-4244
Practice Address - Fax:720-441-0448
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLORADO THERAPY & ASSESSMENT CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-16
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO90000147158Medicaid