Colorado Neurobehavioral Health Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2264 Issued in CO

Legal business name

COLORADO NEUROBEHAVIORAL HEALTH INC.

Practice address

1776 S Jackson St
Suite 618
Denver, CO 80210-3801

Phone

(720) 482-8095

Fax

(720) 529-1557

NPI assigned

Jun 7, 2007

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diane M Gard, M.D.NPI 1831264274

Title

Licensed Clinical Psychologist

Phone

(720) 482-8095

Specialties & licenses 1

Addresses

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.

• Diane Marilee Gard, PHD

  • Clinical Psychologist
  • Gun Barrel City, TX
  • NPI 1831264274
  NPD (past) Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1760685853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 618",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "720-482-8095",
            "fax_number": "720-529-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 618",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "720-482-8095",
            "fax_number": "720-529-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO NEUROBEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GARD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-482-8095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Mental Health Institute Fort Logan
• Colorado Mental Health Institute Fort Logan
• Colorado Mental Health Partners (Emanate Mental Wellness)
• Colorado Moves Counseling Center
• Colorado Native Care LLC
• Colorado Neurobehavioral Health, PC.
• Colorado Neuropsychological & Behavioral Center LLC
• Colorado Neurosurgery Associates, P.C.
• Colorado Non Emergency Medical Transportation, LLC.
• Colorado OB GYN Partners PLLC (The Women's Health Group, Mile High OB/GYN, Midwifery at Rose)

• Clinical Neuropsychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.