Latino Psychotherapy & Development Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LATINO PSYCHOTHERAPY & DEVELOPMENT SERVICES

Practice address

12101 E. Second Ave
Suite 101
Aurora, CO 80011

Phone

(720) 810-4063

NPI assigned

May 27, 2011

Last updated

May 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Eliselda Bustillos, BA, CAC III

Title

Co-Director/Therapist

Phone

(720) 810-4063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1336432020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 E. SECOND AVE",
            "address_2": "SUITE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 E. SECOND AVE",
            "address_2": "SUITE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "720-810-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO PSYCHOTHERAPY & DEVELOPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "BUSTILLOS",
        "authorized_official_first_name": "ELISELDA",
        "authorized_official_title_or_position": "CO-DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "720-810-4063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, CAC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Aurora, CO
• Providers in Aurora, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.