Jeanne Marie Theobald, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DR 0052028 Issued in CO

Practice address

300 S Jackson St Ste 240
Denver, CO 80209-3131

Phone

(720) 724-3668

Fax

(720) 598-0480

NPI assigned

May 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeanne Marie Gradowski Former name

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

Specialty

Psychiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Denver Wellness AssociatesGroup PAC ID 3274949730, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Denver, CO
  • NPI 1144707878
  Medicare reassignment Care Compare group NPD Authorized official
• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Broomfield, CO
  • NPI 1396577177
  NPD Authorized official
• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Lakewood, CO
  • NPI 1073271466
  NPD (past) Authorized official
• Denver Wellness Associates

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1851177588
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1972822609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131",
            "telephone_number": "720-724-3668",
            "fax_number": "720-598-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131",
            "telephone_number": "720-724-3668",
            "fax_number": "720-598-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOBALD",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR 0052028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "GRADOWSKI",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitlin Honor Theisen, LPCC
• John Christopher Theisen, B.A.
• Mackenzie Theisen
• Brandi J Thelen
• Alex Theobald, LMFT
• Kimberly R. Theobald, N.P.
• Sean Elias Theodoratos, MSW, SWC, LAC
• Theodore S Wirecki MD PC
• Scott Kenneth Theodore
• Tena Lee Theos, R.D.H.

• Psychiatry Physician in Denver, CO
• Providers in Denver, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.