Individual provider Active NPI

Doris Christine Gundersen, MD

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1841311057
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30452 Issued in CO
Practice address
425 S Cherry St Ste 630
Denver, CO 80246-1233
Phone
(303) 717-8516
Fax
(303) 368-8921
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30452 CO Primary

Addresses

Primary practice location

425 S Cherry St Ste 630
Denver, CO 80246-1233

Mailing address

425 S Cherry St Ste 630
Denver, CO 80246-1233
Phone (303) 717-8516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920001276 CO Practitioner - PsychiatryPractitioner - Other (Physician) 7719911619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at San Antonio, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

425 S Cherry St
Suite 630
Denver, CO 80246-1235
Phone (303) 717-8516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30452COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doris C Gundersen M D P C Psychiatry CurrentSince Feb 29, 2012 Accepting new patients

Locations

425 S Cherry St
Ste 630
Denver, CO 80246
Phone (303) 596-8847

425 S Cherry St
Ste 810
Glendale, CO 80246
Phone (303) 717-8516

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1841311057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 630",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461233",
            "telephone_number": "303-717-8516",
            "fax_number": "303-368-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 630",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461233",
            "telephone_number": "303-717-8516",
            "fax_number": "303-368-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSEN",
        "first_name": "DORIS",
        "middle_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "30452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.