Emily Rose Dicroce

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

00000000000000 Issued in CO

Practice address

10713 Fillmore CT
Northglenn, CO 80233-4628

Phone

(720) 923-1866

NPI assigned

Apr 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1619439247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10713 FILLMORE CT",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802334628",
            "telephone_number": "720-923-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10713 FILLMORE CT",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802334628",
            "telephone_number": "720-923-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICROCE",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "00000000000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "XFW197M98790",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "10713 Fillmore Ct",
            "city": "Northglenn",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802334628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denver Recovery Group LLC
• Denver Recovery Group LLC
• Cassandra Detwiler
• Suzanna Stephanie Diaz
• Delaney Dick
• Joseph Paul Dimercurio, DPT
• Discover Health and Wellness Northglenn, LLC
• Larry L Doehring, D.O
• Jamie Domagata
• Justin Paul Donnan, LMT

• Behavior Technician in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.