Provider Demographics
NPI:1477707727
Name:PLATO, JESSICA BLOOMFIELD (PSYD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:BLOOMFIELD
Last Name:PLATO
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 S CLAYTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2456
Mailing Address - Country:US
Mailing Address - Phone:720-460-0543
Mailing Address - Fax:704-552-7550
Practice Address - Street 1:1315 S CLAYTON ST STE 300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2456
Practice Address - Country:US
Practice Address - Phone:720-460-0543
Practice Address - Fax:704-552-7550
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3659103T00000X
CO4252103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist