Healthcare Provider Details

I. General information

NPI: 1801459011
Provider Name (Legal Business Name): PSYCHOLOGICAL ASSESSMENT AND THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 GARDEN CTR
BROOMFIELD CO
80020-7087
US

IV. Provider business mailing address

80 GARDEN CTR
BROOMFIELD CO
80020-7087
US

V. Phone/Fax

Practice location:
  • Phone: 720-755-0983
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROLINE SCHEIBER
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 720-755-0983