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NPI Code Detail

MEDICARE: ARCHWAY NEUROPSYCHOLOGICAL SERVICES PLLC

MEDICARE: ARCHWAY NEUROPSYCHOLOGICAL SERVICES PLLC
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1538050075
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARCHWAY NEUROPSYCHOLOGICAL SERVICES PLLC
Provider Business Mailing Address
First Line : 2175 S JASMINE ST STE 112
Second Line :
City : DENVER
State : CO
Zip : 80222-5700
Country : US
Telephone Number : 303-226-7048
Fax Number : 303-385-0074
Provider Business Practice Location Address
First Line : 2175 S JASMINE ST STE 112
Second Line :
City : DENVER
State : CO
Zip : 80222-5700
Country : US
Telephone Number : 303-226-7048
Fax Number : 303-385-0074
Authorized Official
Title or Position : OWNER/MANAGER
Name : DR. JASON KACMARSKI
Credential : PHD
Telephone Number : 303-226-7048
Provider Enumeration Date : 07/12/2025
Last Update Date : 01/19/2026

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Directions to “ARCHWAY NEUROPSYCHOLOGICAL SERVICES PLLC ” Practice Location

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