Organization Active NPI

Spanish Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
National Provider Identifier
1477160083
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SPANISH CLINIC LLC
Practice address
12445 E 39TH Ave Unit 207
Denver, CO 80239-3454
Phone
(720) 335-6651
NPI assigned
Sep 28, 2020
Organization subpart
Yes
Parent organization
SPANISH CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Alfonso Castillo
Title
Director
Phone
(303) 934-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12445 E 39TH Ave Unit 207
Denver, CO 80239-3454

Mailing address

4200 Morrison Rd Unit 8
Denver, CO 80219-2490
Phone (720) 225-7157

Other identifiers 1

IdentifierTypeStateIssuer
9000162712MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Spanish Clinic7 organizations share this tax ID, including this one
Part of
Spanish Clinic

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1477160083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MORRISON RD UNIT 8",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802192490",
            "telephone_number": "720-225-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12445 E 39TH AVE UNIT 207",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393454",
            "telephone_number": "720-335-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPANISH CLINIC LLC",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-934-3040"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000162712",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 28, 2020; 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.