MEDICARE: TMS CENTER CENTENNIAL

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1326605742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMS CENTER CENTENNIAL

Provider Business Mailing Address
First Line	:	6133 S GENEVA WAY
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80111-5439
Country	:	US
Telephone Number	:	719-232-8556
Fax Number	:	303-993-8899

Provider Business Practice Location Address
First Line	:	6075 S QUEBEC ST STE 203
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80111-4535
Country	:	US
Telephone Number	:	719-232-8556
Fax Number	:	303-993-8899

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	RODNEY CHARLES PLACZEK
Credential	:	TMS TRAINER, TECH
Telephone Number	:	719-232-8556

Provider Enumeration Date	:	05/21/2019
Last Update Date	:	02/16/2024

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