Healthcare Provider Details

I. General information

NPI: 1891630976
Provider Name (Legal Business Name): URBAN PEAK DENVER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 S ACOMA ST
DENVER CO
80223-3602
US

IV. Provider business mailing address

1630 S ACOMA ST
DENVER CO
80223-3602
US

V. Phone/Fax

Practice location:
  • Phone: 303-974-2960
  • Fax:
Mailing address:
  • Phone: 303-974-2960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA CONTRERAS
Title or Position: OPERATIONS CONSULTANT
Credential:
Phone: 303-974-2960