Organization Active NPI

Denver Springs Physician Group, LLC

  • Psychiatry Physician
  • Englewood, CO
National Provider Identifier
1851030795
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DENVER SPRINGS PHYSICIAN GROUP, LLC
Practice address
401 W Hampden PL Ste 200
Englewood, CO 80110-2534
Phone
(720) 644-0025
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DENVER SPRINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Gina Warren
Title
Director Credentialing
Phone
(502) 381-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

401 W Hampden PL Ste 200
Englewood, CO 80110-2534

Mailing address

4801 Olympia Park PLZ Ste 1000
Louisville, KY 40241-2090
Phone (412) 588-3546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102000799 CO Part B Supplier - Clinic/Group Practice 5991061228 Receives reassigned benefits from 46 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Englewood, CO; Parker, CO; Westminster, CO

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Denver Springs LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1851030795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 OLYMPIA PARK PLZ STE 1000",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412090",
            "telephone_number": "412-588-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W HAMPDEN PL STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102534",
            "telephone_number": "720-644-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER SPRINGS PHYSICIAN GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENVER SPRINGS, LLC",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING",
        "authorized_official_telephone_number": "502-381-3338"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.