CANYON TREE PSYCHOTHERAPY, LLC
NPI 1720522626
Social Worker - Clinical in Thornton, CO

NPI Status: Active since December 12, 2016

Contact Information

9351 GRANT ST
480
THORNTON, CO
ZIP 80229
Phone: (720) 442-4506

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  • Organization
  • Social Worker
  • Clinical

About CANYON TREE PSYCHOTHERAPY, LLC

This page provides the complete NPI Profile along with additional information for Canyon Tree Psychotherapy, Llc, a provider established in Thornton, Colorado operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1720522626 assigned on December 2016. The practitioner's primary taxonomy code is 1041C0700X with license number 993043 (CO). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ann M Bomberg Lcsw (Owner/practictioner)

NPI
1720522626
Provider Name
CANYON TREE PSYCHOTHERAPY, LLC
Entity Type
Organization
Location Address
9351 GRANT ST 480 THORNTON, CO 80229
Location Phone
(720) 442-4506
Mailing Address
11829 RIDGE PKWY 632 BROOMFIELD, CO 80021
Mailing Phone
(720) 442-4506
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2016
Last Update Date
12-12-2016
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A clinical social worker like Canyon Tree Psychotherapy, Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
993043
License State
CO
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN M BOMBERG LCSW

Authorized Official Title
OWNER/PRACTICTIONER
Authorized Official Phone
(720) 442-4506

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720522626
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740102464
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 2 + 4 + 6 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1720522626 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962405712DR. SUE JAMES DDS
Individual
Dentist (General Practice)9351 GRANT ST STE 340
DENVER, CO 80229
(303) 254-4484
1992790190DR. GRETA KAY BRANDSTETTER MD
Individual
Obstetrics & Gynecology9351 GRANT ST SUITE 560
THORNTON, CO 80229
(303) 586-5001
1558326645 DAVID ZAROU D.O.
Individual
Neuromusculoskeletal Medicine & OMM9351 GRANT ST STE. 370
THORNTON, CO 80229
(303) 255-2049
1730139841 JOEL D. KERTZER PT
Individual
Physical Therapist9351 GRANT ST STE 430
THORNTON, CO 80229
(303) 280-1211
1659321792 GEORGE K. JAKAB PT
Individual
Physical Therapist9351 GRANT ST STE 430
THORNTON, CO 80229
(303) 280-1211
1467403873 ERIN M. HELTSHE MPT
Individual
Physical Therapist9351 GRANT ST STE 550
THORNTON, CO 80229
(303) 280-1211
1164446076 JEREMY K LAW MD
Individual
Specialist9351 GRANT ST SUITE 360
THORNTON, CO 80229
(303) 423-2000
1518974708DR. DORU I.E. GEORGESCU M.D.
Individual
Surgery9351 GRANT ST SUITE 400
THORNTON, CO 80229
(303) 452-0059
1720186547NORTHWEST ORTHOPAEDIC ASSOCIATES
Organization
Orthopaedic Surgery9351 GRANT ST # 360
THORNTON, CO 80229
(303) 423-2000
1285803759PROVIDENT ORTHOPEDIC ASSOCIATES
Organization
Specialist9351 GRANT ST 360
THORNTON, CO 80229
(303) 423-2000
1295982205OB-GYN ASSOCIATES NORTH PC
Organization
Obstetrics & Gynecology9351 GRANT ST SUITE 560
THORNTON, CO 80229
(303) 586-5001
1811290307 JENNIFER E VOAG M.S,, P.A.-C
Individual
Physician Assistant9351 GRANT ST STE 100
THORNTON, CO 80229
(303) 280-3893
1508116427COMMUNITY FOOT AND ANKLE CLINIC PC
Organization
Podiatrist (Foot & Ankle Surgery)9351 GRANT ST SUITE 490
THORNTON, CO 80229
(303) 451-5271
1144407685COMMUNITY FOOT AND ANKLE CLINIC, PC
Organization
Podiatrist (Foot & Ankle Surgery)9351 GRANT ST SUITE 490
THORNTON, CO 80229
(303) 451-5271
1699093336 RACHEL ELIZABETH MOORE
Individual
Physical Therapist9351 GRANT ST SUITE 430
THORNTON, CO 80229
(303) 280-1211
1891076717 VALERIE RUDDEN LIMHP, LPC
Individual
Counselor (Mental Health)9351 GRANT ST SUITE 480
THORNTON, CO 80229
(303) 482-6687
1922487297 WILLIAM STURGEON PTA
Individual
Physical Therapy Assistant9351 GRANT ST SUITE #430
THORNTON, CO 80229
(303) 280-1211
1598145864SUE JAMES, D.D.S., P.C.
Organization
Dentist9351 GRANT ST SUITE 340
THORNTON, CO 80229
(303) 254-4484
1366514127 RYAN FERREL MANSHOLT PAC
Individual
Physician Assistant9351 GRANT ST SUITE 100
THORNTON, CO 80229
(303) 280-3893
1144230160DR. CHRISTOPHER GNIP DPT
Individual
Physical Therapist (Orthopedic)9351 GRANT ST SUITE 430
THORNTON, CO 80229
(303) 280-1211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720522626, enumerated in the NPI registry as an "organization" on December 12, 2016

The provider is located at 9351 Grant St 480 Thornton, Co 80229 and the phone number is (720) 442-4506

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on December 12, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.