Healthcare Provider Details

I. General information

NPI: 1609795095
Provider Name (Legal Business Name): CHELSA L NEWBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6980 COLORADO BLVD
COMMERCE CITY CO
80022-2224
US

IV. Provider business mailing address

6980 COLORADO BLVD
COMMERCE CITY CO
80022-2224
US

V. Phone/Fax

Practice location:
  • Phone: 216-270-7200
  • Fax:
Mailing address:
  • Phone: 216-270-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number-25-486425
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: