| Jennifer E Medina Phd Pc | |
|
4045 Pecos St Ste 150 Denver CO 80211-2561 | |
| (720) 295-0357 | |
| Not Available |
| Full Name | Jennifer E Medina Phd Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4045 Pecos St Ste 150, Denver, Colorado |
| Authorized Official Name and Position | Jennifer Medina (OWNER) |
| Authorized Official Contact | 7202950357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer E Medina Phd Pc 4045 Pecos St Ste 150 Denver CO 80211-2561 Ph: (720) 295-0357 | Jennifer E Medina Phd Pc 4045 Pecos St Ste 150 Denver CO 80211-2561 Ph: (720) 295-0357 |
| NPI Number | 1649674524 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 5496078404 |
|---|---|
| Medicare Enrollment ID | O20150311002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649674524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY.0004192 (Colorado) | Primary |
| Provider Name | Jennifer Elaine Medina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144513821 PECOS PAC ID: 0143494658 Enrollment ID: I20150311002179 |
Clinical Psychologist Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 90 Madison St, Suite 402, Denver, CO 80206 Phone: 720-272-0565 | |
Mindsolutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2204 N Emerson St, Denver, CO 80205 Phone: 970-424-4061 | |
Field Of Vision Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 N Grant St Ste 308, Denver, CO 80203 Phone: 720-668-6482 | |
Alis Behavioral Health Of Colorado Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 S Colorado Blvd Ste B705, Denver, CO 80222 Phone: 888-528-3860 | |
Bonnie Brae Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N Grant St Ste C, Denver, CO 80203 Phone: 720-432-7432 | |
Succeed Aba Co Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 E Hampden Ave Ste 400, Denver, CO 80231 Phone: 463-777-8323 | |
Magnolia Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 N Lafayette St Ste 104, Denver, CO 80218 Phone: 303-209-5115 |