Active NPI
Doris C Gundersen M D P C
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1972800787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30452
- Legal business name
- DORIS C GUNDERSEN M D P C
- Practice address
- 425 S Cherry St
Suite 810
Denver, CO 80246-1226 - Phone
- (303) 717-8516
- Fax
- (303) 738-0644
- NPI assigned
- Feb 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doris Christine Gundersen, M.D.
- Title
- Owner
- Phone
- (303) 717-8516
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30452 | CO | Primary |
Addresses
Primary practice location
425 S Cherry St
Suite 810
Denver, CO 80246-1226
Mailing address
425 S Cherry St
Suite 810
Denver, CO 80246-1226
Phone (303) 717-8516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841311057 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
425 S Cherry St
Ste 810
Glendale, CO 80246
Phone (303) 717-8516
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Denver, CO
- NPI 1841311057
-
- Psychiatry Physician
- Denver, CO
- NPI 1629244405
-
- Clinical Psychologist
- Denver, CO
- NPI 1457588170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349740800000",
"number": "1972800787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S CHERRY ST",
"address_2": "SUITE 810",
"city": "DENVER",
"state": "CO",
"postal_code": "802461226",
"telephone_number": "303-717-8516",
"fax_number": "303-738-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S CHERRY ST",
"address_2": "SUITE 810",
"city": "DENVER",
"state": "CO",
"postal_code": "802461226",
"telephone_number": "303-717-8516",
"fax_number": "303-738-0644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORIS C GUNDERSEN M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-15",
"last_updated": "2012-10-09",
"status": "A",
"authorized_official_last_name": "GUNDERSEN",
"authorized_official_first_name": "DORIS",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-717-8516",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "30452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1841311057",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.