Provider Demographics
NPI:1770111460
Name:GREENWOOD VILLAGE PSYCHOLOGY, LLC
Entity type:Organization
Organization Name:GREENWOOD VILLAGE PSYCHOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HILSENDAGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-916-1719
Mailing Address - Street 1:6900 E BELLEVIEW AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1645
Mailing Address - Country:US
Mailing Address - Phone:303-916-1719
Mailing Address - Fax:
Practice Address - Street 1:6900 E BELLEVIEW AVE STE 205
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1645
Practice Address - Country:US
Practice Address - Phone:303-916-1719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health