Healthcare Provider Details

I. General information

NPI: 1437013109
Provider Name (Legal Business Name): OCEANN GITTENS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S JACKSON ST STE 210
DENVER CO
80209-3134
US

IV. Provider business mailing address

300 S JACKSON ST STE 210
DENVER CO
80209-3134
US

V. Phone/Fax

Practice location:
  • Phone: 303-704-4062
  • Fax:
Mailing address:
  • Phone: 303-704-4062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSYC.00016163
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: