Healthcare Provider Details

I. General information

NPI: 1245112929
Provider Name (Legal Business Name): COMPOS MENTIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7475 E ARAPAHOE RD STE 5
CENTENNIAL CO
80112-1255
US

IV. Provider business mailing address

9638 E POWERS DR
GREENWOOD VILLAGE CO
80111-3524
US

V. Phone/Fax

Practice location:
  • Phone: 720-201-7614
  • Fax:
Mailing address:
  • Phone: 720-201-7614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OLGA FELDMAN
Title or Position: OWNER
Credential:
Phone: 720-201-7614