Healthcare Provider Details
I. General information
NPI: 1568682110
Provider Name (Legal Business Name): RACHEL MARIAN POWERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/26/2007
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4851 INDEPENDENCE ST STE 200 70 EXECUTIVE CENTER, BLDG 2 (JEFFERSON CENTER FOR MH)
WHEAT RIDGE CO
80033-6712
US
IV. Provider business mailing address
4851 INDEPENDENCE ST STE 200 70 EXECUTIVE CENTER, BLDG 2 (JEFFERSON CENTER FOR MH)
WHEAT RIDGE CO
80033-6712
US
V. Phone/Fax
- Phone: 303-425-0300
- Fax: 303-432-5260
- Phone: 303-425-0300
- Fax: 303-432-5260
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | C1-0028000 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | DR50328 |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | C1-0028000 |
| License Number State | DE |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 50328 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: