=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972391126
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JANET DODD, PH.D.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2025
-----------------------------------------------------
Last Update Date | 04/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1660 S ALBION ST STE 415B
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80222-4043
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-938-2804
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3804 S MALTA ST
-----------------------------------------------------
City | AURORA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80013-7419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-938-2804
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | JANET DODD
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 720-938-2804
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------