MEDICARE: URBAN PEAK DENVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1164365938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URBAN PEAK DENVER

Provider Business Mailing Address
First Line	:	1630 S ACOMA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-3602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2485 S YORK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5330
Country	:	US
Telephone Number	:	303-974-2961
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS CONSULTANT
Name	:	CASSANDRA CONTRERAS
Credential	:
Telephone Number	:	303-974-2960

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “URBAN PEAK DENVER ” Practice Location

Language	Start Address	Practice Location

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