Organization Active NPI

Colorado Neuropsychological & Behavioral Center LLC

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1700819497
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2539 Issued in CO
Legal business name
COLORADO NEUROPSYCHOLOGICAL & BEHAVIORAL CENTER LLC
Practice address
8751 E Hampden Ave Ste C2
Denver, CO 80231-4930
Phone
(720) 468-3651
Fax
(720) 468-3651
NPI assigned
Jul 8, 2006
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. Bradley F. McMillan, PH.D.NPI 1700875762
Title
Partner
Phone
(720) 468-3651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2506 CO
Clinical Psychologist 103TC0700X 2539 CO Primary
Clinical Psychologist 103TC0700X 2506 CO

Addresses

Primary practice location

8751 E Hampden Ave Ste C2
Denver, CO 80231-4930

Mailing address

8751 E Hampden Ave Ste C2
Denver, CO 80231-4930
Phone (720) 468-3651

National Provider Directory

National Provider Directory

Locations

1001 S Monaco Pkwy
Ste 240
Denver, CO 80224
Phone (303) 744-8355

8751 E Hampden Ave
Ste C2
Denver, CO 80231
Phone (720) 468-3651

Practitioners & affiliated clinicians

Practitioners 2

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1700819497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 E HAMPDEN AVE STE C2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314930",
            "telephone_number": "720-468-3651",
            "fax_number": "303-745-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 E HAMPDEN AVE STE C2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314930",
            "telephone_number": "720-468-3651",
            "fax_number": "720-468-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO NEUROPSYCHOLOGICAL & BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "720-468-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "2506",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2539",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2506",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 22, 2013; 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.