Provider Demographics
NPI:1700800125
Name:DEVELOPMENTAL BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:DEVELOPMENTAL BEHAVIORAL HEALTH, INC.
Other - Org Name:DEVELOPMENTAL BEHAVIORAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:719-640-8066
Mailing Address - Street 1:550 THORNTON PKWY UNIT 234
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2167
Mailing Address - Country:US
Mailing Address - Phone:719-640-8066
Mailing Address - Fax:
Practice Address - Street 1:550 THORNTON PKWY UNIT 234
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2167
Practice Address - Country:US
Practice Address - Phone:719-640-8066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2559103TC0700X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty