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NPI Code Detail

MEDICARE: EATING RECOVERY CENTER

MEDICARE: EATING RECOVERY CENTER
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
1133V00000XRegistered Dietitian
2207R00000XInternal Medicine Physician
32084P0804XChild & Adolescent Psychiatry Physician
4133N00000XNutritionist
5133NN1002XNutrition Education Nutritionist
62084P0800XPsychiatry Physician
7207Q00000XFamily Medicine Physician
8261Q00000XClinic/Center
9261QM0855XAdolescent and Children Mental Health Clinic/Center
10208D00000XGeneral Practice Physician
11323P00000XPsychiatric Residential Treatment Facility

General Provider Information

NPI Number : 1518715606
Entity Type Code : Organization
Provider Name (Legal Business Name) : EATING RECOVERY CENTER
Provider Business Mailing Address
First Line : PO BOX 561481
Second Line :
City : DENVER
State : CO
Zip : 80256-1481
Country : US
Telephone Number : 877-825-8584
Fax Number :
Provider Business Practice Location Address
First Line : 1830 N FRANKLIN ST STE 500
Second Line :
City : DENVER
State : CO
Zip : 80218-1169
Country : US
Telephone Number : 877-825-8584
Fax Number :
Authorized Official
Title or Position : MANAGER, CREDENTIALING & PAYOR STRA
Name : JESS JOSLIN
Credential :
Telephone Number : 303-731-8164
Provider Enumeration Date : 05/13/2024
Last Update Date : 12/15/2025

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