JETTISON MEDICAL GROUP – NPI #1457239691
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

JETTISON MEDICAL GROUP is a psychiatry & neurologist located in DENVER, CO. NPPES has assigned the NPI number 1457239691 to JETTISON MEDICAL GROUP on August 25, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

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 JETTISON MEDICAL GROUP below.

NPI Profile for
JETTISON MEDICAL GROUP

NPI Number
1457239691
Enumeration Date

(about 10 months 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
JETTISON MEDICAL GROUP
Primary location
600 17TH ST STE 2883
DENVER, CO 80202-5402
Phone: (303) 493-9509 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SONJAY SHRINIVAS
PC OWNER
Phone: (617) 504-4449
Updated
Certification Date
Aug 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
207R00000X
- Internal Medicine
101YM0800X
- Counselor / Mental Health

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.