| Deer Oaks Illinois Llc | |
|
5822 S Lowell Way Littleton CO 80123-2849 | |
| (210) 615-3483 | |
| Not Available |
| Full Name | Deer Oaks Illinois Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5822 S Lowell Way, Littleton, Colorado |
| Authorized Official Name and Position | Paul A Boskind (CEO-OWNER) |
| Authorized Official Contact | 8883656271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Oaks Illinois Llc 7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 Ph: (888) 365-6271 | Deer Oaks Illinois Llc 5822 S Lowell Way Littleton CO 80123-2849 Ph: (210) 615-3483 |
| NPI Number | 1316345291 |
|---|---|
| Provider Enumeration Date | 12/09/2014 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Medicare PECOS PAC ID | 8628375730 |
|---|---|
| Medicare Enrollment ID | O20160404001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316345291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kevin Patrick Hardin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578588521 PECOS PAC ID: 3870588742 Enrollment ID: I20040419001504 |
| Provider Name | Andrea M Shook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528007192 PECOS PAC ID: 6406818343 Enrollment ID: I20041102000784 |
| Provider Name | Nicole R Toy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932212818 PECOS PAC ID: 0143273441 Enrollment ID: I20050228000145 |
| Provider Name | Jeffrey Fross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275579948 PECOS PAC ID: 8022048651 Enrollment ID: I20050815000095 |
| Provider Name | Erin M Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083911234 PECOS PAC ID: 9436332384 Enrollment ID: I20110330000549 |
| Provider Name | Cherie Arnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356399331 PECOS PAC ID: 2163609942 Enrollment ID: I20110603000002 |
| Provider Name | Mary E Osburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699060913 PECOS PAC ID: 2062651912 Enrollment ID: I20130625000636 |
| Provider Name | James Polly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336459429 PECOS PAC ID: 0143449611 Enrollment ID: I20141120000335 |
| Provider Name | Linda G Owen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336390780 PECOS PAC ID: 3375829344 Enrollment ID: I20170406001900 |
| Provider Name | Elizabeth L Terlizzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295271658 PECOS PAC ID: 8123305711 Enrollment ID: I20170509001037 |
| Provider Name | Tina L Jagger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437580826 PECOS PAC ID: 5698038172 Enrollment ID: I20180416000984 |
| Provider Name | Robert B Ramey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912540402 PECOS PAC ID: 7517399413 Enrollment ID: I20191114002047 |
| Provider Name | Amy Huelsenbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003825563 PECOS PAC ID: 8022014323 Enrollment ID: I20200309002412 |
| Provider Name | Aaron Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154814507 PECOS PAC ID: 1951726769 Enrollment ID: I20200810002761 |
| Provider Name | Cassandra Trapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194181677 PECOS PAC ID: 1355768276 Enrollment ID: I20200824002175 |
| Provider Name | Brian Michael Mckibben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053826982 PECOS PAC ID: 6709139041 Enrollment ID: I20230106001324 |
| Provider Name | Lakeshia K Blanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154000230 PECOS PAC ID: 2961865282 Enrollment ID: I20230901002737 |
| Provider Name | Lori A Beals |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417118258 PECOS PAC ID: 6002256005 Enrollment ID: I20240424001836 |
| Provider Name | Megan Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275082208 PECOS PAC ID: 0547680225 Enrollment ID: I20240531001649 |
| Provider Name | Erin Buechler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477790848 PECOS PAC ID: 6709327893 Enrollment ID: I20240917000284 |
| Provider Name | Laura Jurewicz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558891630 PECOS PAC ID: 2567993991 Enrollment ID: I20241009000969 |
| Provider Name | Lana V. Rickey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497801831 PECOS PAC ID: 5597986505 Enrollment ID: I20250115001974 |
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