MEDICARE: MS. JANET M KUCZMARSKI PH.D.

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	103TC0700X	Clinical Psychologist	000945	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	016140	OTHER	CO	VALUE OPTIONS PROVIDER #
2	7453442	OTHER	CO	AETNA PROVIDER NUMBER
3	236870	OTHER	CO	MANAGED HEALTH NETWORK #
4	107936355	OTHER	CO	UNITED PROVIDER NUMBER
5	345469000	OTHER	CO	MAGELLAN PROVIDER NUMBER
6	A73EEE662F	OTHER	CO	TRICARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1215930920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET M KUCZMARSKI PH.D.

Provider Business Mailing Address
First Line	:	1660 S ALBION ST STE 415B
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4043
Country	:	US
Telephone Number	:	720-749-8698
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 S ALBION ST STE 415B
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4043
Country	:	US
Telephone Number	:	720-749-8698
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/08/2025

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