Provider Demographics
NPI:1245369727
Name:BOOS, WERNER K (PSYD)
Entity type:Individual
Prefix:DR
First Name:WERNER
Middle Name:K
Last Name:BOOS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9185 E KENYON AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1822
Mailing Address - Country:US
Mailing Address - Phone:303-741-5588
Mailing Address - Fax:303-741-9977
Practice Address - Street 1:9185 E KENYON AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1822
Practice Address - Country:US
Practice Address - Phone:303-741-5588
Practice Address - Fax:303-741-9977
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP1600X, 103TA0400X, 103TB0200X, 103TC1900X, 103TC2200X, 103TF0000X, 106H00000X
CO1015103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO53052315Medicaid
CO345418Medicare ID - Type Unspecified