Dennis L Wack PH.D LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1083 Issued in CO

Legal business name

DENNIS L WACK PH.D LLC

Practice address

4045 Wadsworth Blvd
Suite 308
Wheat Ridge, CO 80033-4642

Phone

(303) 421-1896

Fax

(303) 237-3589

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis L Wack, PH.DNPI 1487606497

Title

President

Phone

(303) 421-1896

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Dennis L. Wack, PH.D.

  • Clinical Psychologist
  • Wheat Ridge, CO
  • NPI 1487606497
  NPD (past) Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1366642092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD",
            "address_2": "SUITE 308",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334642",
            "telephone_number": "303-421-1896",
            "fax_number": "303-237-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD",
            "address_2": "SUITE 308",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334642",
            "telephone_number": "303-421-1896",
            "fax_number": "303-237-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS L WACK PH.D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "WACK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-421-1896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Delich
• Jean Louise Demoss, O.D.
• Susan Denison, MSW, LCSW
• Danelle Denney, R.PH.
• Dennis H. Olson, MD, PC
• Dentistry for Colorado Kids, PLLC (Kids Choice Dental)
• Denver Family Therapy Center Inc
• Denver Family Therapy Center Inc
• Denver West Physical Medicine
• Charles Anthony Depaolo III

• Adult Mental Health Clinic/Center in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.