David Kalis, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0003755 Issued in CO

Legal business name

DAVID KALIS, LLC

Practice address

357 McCaslin Blvd
Ste 200
Louisville, CO 80027-2941

Phone

(303) 482-7041

Fax

(303) 416-4356

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David H Kallis, PSYD

Title

Limited Liability Corp-S

Phone

(303) 482-7041

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

David Kalis Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Parker Personal Care Homes, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, CO
  • NPI 1992218051
  NPD tax ID
• Parker Personal Care Homes, Inc.

  dba David Kalis, Inc.

  • Clinical Social Worker
  • Louisville, CO
  • NPI 1932614401
  NPD tax ID

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1164889069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 MCCASLIN BLVD",
            "address_2": "STE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272941",
            "telephone_number": "303-482-7041",
            "fax_number": "303-416-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MCCASLIN BLVD",
            "address_2": "STE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272941",
            "telephone_number": "303-482-7041",
            "fax_number": "303-416-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KALIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "KALLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "LIMITED LIABILITY CORP-S",
        "authorized_official_telephone_number": "303-482-7041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0003755",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW,00000077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78085063",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Danao, D.P.T.
• Stephanie Daniels, PT, DPT
• Dave W. Tuck, DC, PC (Texoma Wellness Center)
• Shoban Arun Dave, MD
• David E Miller MD PC
• Rachelle Paige Davis, MFT
• Trinette Leporati De Freitas, P.T.
• Erika Rose De la Castro, MFTC
• Kimberly Deboy, PT
• Helena Degrazia, OTR/L

• Clinical Psychologist in Louisville, CO
• Providers in Louisville, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.