Healthcare Provider Details

I. General information

NPI: 1992616528
Provider Name (Legal Business Name): DUSTIN MC LEAN FELDMANN CAT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7205 W COLFAX AVE STE 101D
LAKEWOOD CO
80214-5408
US

IV. Provider business mailing address

8444 N 90TH ST STE 100
SCOTTSDALE AZ
85258-4437
US

V. Phone/Fax

Practice location:
  • Phone: 720-685-6250
  • Fax: 720-512-2141
Mailing address:
  • Phone: 602-248-8889
  • Fax: 602-248-8999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACA.0008625
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: