Healthcare Provider Details

I. General information

NPI: 1790604734
Provider Name (Legal Business Name): BASELINE PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2679 W MAIN ST UNIT 508
LITTLETON CO
80120-1950
US

IV. Provider business mailing address

2679 W MAIN ST UNIT 508
LITTLETON CO
80120-1950
US

V. Phone/Fax

Practice location:
  • Phone: 303-808-1111
  • Fax:
Mailing address:
  • Phone: 303-808-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: LAYLA SCHIMMEL
Title or Position: PSYCHOLOGIST
Credential: PSYD
Phone: 303-808-1111