Mira Eklund, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

42236 Issued in CO

Practice address

455 Acoma St
Denver, CO 80204-5112

Phone

(303) 780-9191

Fax

(303) 780-9192

NPI assigned

Jan 17, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Third Way Center, Inc

  • Clinic/Center
  • Denver, CO
  • NPI 1801549316
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1700938990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802045112",
            "telephone_number": "303-780-9191",
            "fax_number": "303-780-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802045112",
            "telephone_number": "303-780-9191",
            "fax_number": "303-780-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLUND",
        "first_name": "MIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "42236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "COA100797",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89228723",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ek Counseling
• Sam Thomas Ek, PT
• Karen Birgit Ekernas, MD MPH
• Ekg Associates Prof LLP
• Jill Eklof, RDN
• Sherri L Ekobena, PA
• April Cherie Ekpezu, FNP
• Rachel El Baz, LCSW
• El Centro Esperanza
• El Consultorio PLLC

• Child & Adolescent Psychiatry Physician in Denver, CO
• Providers in Denver, CO by specialty
• Child & Adolescent Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.