| Dr Jonathan Shaffer, PHD | |
| 
					6121 W 60th Ave, Arvada, CO 80003-5603  | |
| (303) 420-4550 | |
| Not Available | 
| Full Name | Dr Jonathan Shaffer | 
|---|---|
| Gender | Male | 
| Speciality | Psychologist - Clinical | 
| Location | 6121 W 60th Ave, Arvada, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801170220 | NPI | - | NPPES | 
| 13862744 | Other | CO | CAQH | 
| PSY.0004404 | Other | CO | PROFESSIONAL LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 019151 (New York) | Primary | 
| 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 Jonathan Shaffer, PHD 4860 Robb St, Suite 201, Wheat Ridge, CO 80033-2184 Ph: (303) 278-7418  | Dr Jonathan Shaffer, PHD 6121 W 60th Ave, Arvada, CO 80003-5603 Ph: (303) 420-4550  | 
Dr. Allena Branson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9694 W 87th Cir, Arvada, CO 80005 Phone: 303-550-8683  | |
Dr. Anne Behrent, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6301 Beech Ct, Arvada, CO 80004 Phone: 832-622-1702  | |
Dr. Sonja Bunke Holt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5460 Ward Rd, Suite 130, Arvada, CO 80002 Phone: 303-525-6855 Fax: 303-424-3271  | |
Mr. Weston Verlaine Donaldson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8175 Sheridan Blvd Unit N, Arvada, CO 80003 Phone: 303-557-0855 Fax: 720-336-3149  | |
Dr. Gina Reyes,  Psychologist Medicare: Medicare Enrolled Practice Location: 7850 Vance Dr Ste 185, Arvada, CO 80003 Phone: 808-494-5507  | |
Emily Alicia Sonnen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12388 W 70th Ave, Arvada, CO 80004 Phone: 214-675-3326  | |
Rajmatie Hardial-hosein,  Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6755 Beech Ct, Arvada, CO 80004 Phone: 646-416-1336  |