Healthcare Provider Details

I. General information

NPI: 1649194820
Provider Name (Legal Business Name): BEKMAN PSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 S BELLAIRE ST STE 125
DENVER CO
80222-4467
US

IV. Provider business mailing address

1780 S BELLAIRE ST STE 125
DENVER CO
80222-4467
US

V. Phone/Fax

Practice location:
  • Phone: 720-432-3836
  • Fax:
Mailing address:
  • Phone: 720-432-3836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. SHANNON KELLY BEKMAN
Title or Position: MANAGING MEMBER
Credential: PHD
Phone: 814-574-0539