Richard L Vandenbergh MD PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15692 Issued in CO

Legal business name

RICHARD L VANDENBERGH MD PC

Practice address

1777 S Harrison St PH P300
Denver, CO 80210-3939

Phone

(303) 758-3188

Fax

(303) 758-1145

NPI assigned

Jul 26, 2010

Last updated

Jul 26, 2010By 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. Richard L Vandenbergh, M.D.

Title

Owner/President

Phone

(303) 758-3188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1841503323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST PH P300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103939",
            "telephone_number": "303-758-3188",
            "fax_number": "303-758-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST PH P300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103939",
            "telephone_number": "303-758-3188",
            "fax_number": "303-758-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L VANDENBERGH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "VANDENBERGH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-758-3188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "15692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.