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NPI 1336806413

NPI 1336806413 : ASCEND INTEGRATIVE PSYCHIATRY : ENGLEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1336806413
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASCEND INTEGRATIVE PSYCHIATRY 
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Dates
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    Enumeration Date     |    11/23/2021
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    Last Update Date     |    06/13/2025
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Provider Practice Location Address
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    Address Line         |    8310 S VALLEY HWY STE 300 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80112-5815
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    Country              |    US
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    Telephone            |    303-222-7937
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    Fax                  |    303-532-1049
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Provider Business Mailing Address
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    Address Line         |    8310 S VALLEY HWY STE 300 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80112-5815
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    Country              |    US
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    Telephone            |    303-222-7937
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    Fax                  |    303-532-1049
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Authorized Official
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    Title or Position    |    PMHNP-BC
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    Name                 |     TIFFANY S PETERSON 
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    Credential           |    APN
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    Telephone            |    303-222-7937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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