Healthcare Provider Details

I. General information

NPI: 1710624358
Provider Name (Legal Business Name): JOSHUA JOHN OPICHKA PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18230 E SILVER CREEK AVE
BUCKLEY AFB CO
80011-9501
US

IV. Provider business mailing address

18230 E SILVER CREEK AVE
BUCKLEY AFB CO
80011-9501
US

V. Phone/Fax

Practice location:
  • Phone: 720-847-6451
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: