Healthcare Provider Details

I. General information

NPI: 1154186005
Provider Name (Legal Business Name): DORSEY PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12556 BEACON ST
FIRESTONE CO
80504-5320
US

IV. Provider business mailing address

PO BOX 1106
FIRESTONE CO
80520-1106
US

V. Phone/Fax

Practice location:
  • Phone: 720-954-2356
  • Fax:
Mailing address:
  • Phone: 720-954-2356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KATIE ANNE DORSEY
Title or Position: OWNER/PSYCHOLOGIST
Credential: PSY.D.
Phone: 720-954-2356