Psychodynamics Professional LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35788 Issued in CO

Legal business name

PSYCHODYNAMICS PROFESSIONAL LLC

Practice address

2687 Patterson Road
Grand Junction, CO 81506

Phone

(970) 255-7672

NPI assigned

Jul 24, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Kennedy, M.D.

Title

Manager

Phone

(970) 255-7672

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1013494897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815020634",
            "telephone_number": "970-255-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 PATTERSON ROAD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81506",
            "telephone_number": "970-255-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHODYNAMICS PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-255-7672",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "35788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Proppe
• Brent James Prosser, M.D.
• Joseph Luke Pruitt, PHARM.D
• Paul Dean Przystup, D.P.M.
• Peter Psenda, AGPCNP
• Psychological Associates of Western Co. P.C.
• Brittney G Pugh
• Kathleen L Pulchny, APRN-CNP
• Larry L Pulliam, RN
• Mikayla Pulliam, MD

• Psychiatry Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.