Cerehealth Corp.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

1157-01 Issued in CO

Legal business name

CEREHEALTH CORP.

Doing business as

CereScan Corp.

Practice address

991 Southpark Dr
Ste. 200
Littleton, CO 80120-5688

Phone

(720) 242-9081

Fax

(303) 648-6558

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. John Kelley

Title

Chair/Ceo

Phone

(720) 242-9081

Specialties & licenses 1

Addresses

Other names 1

• CereScan Corp. Doing business as

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1316189376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 SOUTHPARK DR",
            "address_2": "STE. 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205688",
            "telephone_number": "720-242-9081",
            "fax_number": "303-648-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 SOUTHPARK DR",
            "address_2": "STE. 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205688",
            "telephone_number": "720-242-9081",
            "fax_number": "303-648-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREHEALTH CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHAIR/CEO",
        "authorized_official_telephone_number": "720-242-9081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CO",
            "license": "1157-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CereScan Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Centerstone Therapy LLC
• Cerehealth Mso, LLC
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• Collette Elise Chacon
• Rebekah Chadwick, LPN
• Jennifer Alison Chaet, CMT

• Radiology Clinic/Center in Littleton, CO
• Providers in Littleton, CO by specialty
• Radiology Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.