| Dr Irene Gutierrez Ellis, PSYD | |
| 
					2101 S Blackhawk St., Ste 240, Rm 4, Aurora, CO 80014-1475  | |
| (720) 316-5840 | |
| (720) 362-2435 | 
| Full Name | Dr Irene Gutierrez Ellis | 
|---|---|
| Gender | Female | 
| Speciality | Psychologist - Clinical | 
| Location | 2101 S Blackhawk St., Ste 240, Rm 4, Aurora, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619138070 | NPI | - | NPPES | 
| 61452769 | Medicaid | CO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3619 (Colorado) | Primary | 
| Entity Name | Family Peace Of Mind Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215298096 PECOS PAC ID: 5698076560 Enrollment ID: O20151217002284  | 
| Entity Name | Sondermind Provider Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Irene Gutierrez Ellis, PSYD 5700 S Sicily St, Aurora, CO 80015-4599 Ph: (303) 883-1082  | Dr Irene Gutierrez Ellis, PSYD 2101 S Blackhawk St., Ste 240, Rm 4, Aurora, CO 80014-1475 Ph: (720) 316-5840  | 
Dr. Lauren Dawn Berkovits, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234  | |
Dr. Anthony D Bandele, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2323 S Troy St, Aurora, CO 80014 Phone: 303-921-3633  | |
Dr. Sarah Gianna Curci, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1890 N Revere Ct, Aurora, CO 80045 Phone: 303-724-1646  | |
Dr. Richard Marvin Swanson, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11059 E Bethany Dr, Suite 200, Aurora, CO 80014 Phone: 303-617-2574 Fax: 303-617-2397  | |
Robin Gabriels, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234  | |
Kevin Bess, MA, LMFT Psychologist Medicare: Medicare Enrolled Practice Location: 1504 Galena St, Aurora, CO 80010 Phone: 303-617-2300  | |
Dr. Kathleen Ann Mcchesney, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 13001 E 17th Pl, Aurora, CO 80045 Phone: 720-848-0000  |