DENNIS L WACK PH.D LLC – NPI #1366642092
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

DENNIS L WACK PH.D LLC is an AHC clinic located in WHEAT RIDGE, CO. NPPES has assigned the NPI number 1366642092 to DENNIS L WACK PH.D LLC on July 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DENNIS L WACK PH.D LLC below.

NPI Profile for
DENNIS L WACK PH.D LLC

NPI Number
1366642092
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DENNIS L WACK PH.D LLC
Primary location
4045 WADSWORTH BLVD
SUITE 308
WHEAT RIDGE, CO 80033-4642
Phone: (303) 421-1896 Fax: (303) 237-3589
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DENNIS WACK
PRESIDENT
Phone: (303) 421-1896
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)		 CO 1083

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.