Dan L. Manzanares, PSYD, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1070 Issued in CO

Legal business name

DAN L. MANZANARES, PSYD, PC

Practice address

4770 E Iliff Ave
102
Denver, CO 80222-6061

Phone

(303) 757-3352

Fax

(303) 757-7994

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dan L Manzanares, PSYDNPI 1013922590

Title

Clinical Psychologist

Phone

(303) 757-3352

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan L Manzanares, PSY.D.

  • Clinical Psychologist
  • Denver, CO
  • NPI 1013922590
  NPD (past) Authorized official

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1346530631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE",
            "address_2": "102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226061",
            "telephone_number": "303-757-3352",
            "fax_number": "303-757-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE",
            "address_2": "102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226061",
            "telephone_number": "303-757-3352",
            "fax_number": "303-757-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN L. MANZANARES, PSYD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "MANZANARES",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-757-3352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07106636",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Damitio, LPC, NCC
• Kristin Nicole Damitz, OTD, OTR/L
• Anna E Dammann, PH.D.
• Ernest Damoah
• Nicole Dams, NP
• Laura Lynn Dana, PHYSICAL THERAPIST
• Marie Danaher
• Sean Danaher
• Eileen Danahey, RN
• Stephen E Danahey, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.