Healthcare Provider Details

I. General information

NPI: 1407913254
Provider Name (Legal Business Name): AFFILITATED THERAPEUTIC SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18846 E SARATOGA CIR
AURORA CO
80015-4932
US

IV. Provider business mailing address

18846 E SARATOGA CIR
AURORA CO
80015-4932
US

V. Phone/Fax

Practice location:
  • Phone: 303-693-3630
  • Fax: 303-627-1573
Mailing address:
  • Phone: 303-693-3630
  • Fax: 303-627-1573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number317
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELLIS BRIAN POTTER
Title or Position: PRESIDENT, PSYCHOLOGIST
Credential: PHD
Phone: 303-693-3630