NPIMap

Organization Active NPI

Tennyson Center for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Denver, CO
National Provider Identifier
1356471718
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1529814 Issued in CO
Legal business name
TENNYSON CENTER FOR CHILDREN
Practice address
2950 Tennyson St
Denver, CO 80212
Phone
(303) 433-2541
Fax
(303) 433-9701
NPI assigned
Mar 6, 2007
Last updated
Jan 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Ms. Mindy Watrous
Title
Ceo
Phone
(619) 890-8697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1529814 CO Primary

Addresses

Primary practice location

2950 Tennyson St
Denver, CO 80212

Mailing address

2950 Tennyson St
Denver, CO 80212
Phone (303) 433-2541

Other identifiers 1

IdentifierTypeStateIssuer
32900350MedicaidCO

Other names 1

  • Tennyson Center for Children At Colorado Christian Home Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Tennyson Center for Children at Colorado Christian Home3 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.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1356471718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 TENNYSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80212",
            "telephone_number": "303-433-2541",
            "fax_number": "303-433-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 TENNYSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80212",
            "telephone_number": "303-433-2541",
            "fax_number": "303-433-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNYSON CENTER FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-01-15",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "WATROUS",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-890-8697",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CO",
            "license": "1529814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32900350",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennyson Center for Children At Colorado Christian Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.