DR. DAVID GAGE MIRICH PH.D. NPI 1326190083

NPI Information

NPI: 1326190083
Provider Name: DR. DAVID GAGE MIRICH, PH.D.
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2860 AMES ST
WHEAT RIDGE, CO
ZIP 80214
Phone: (303) 824-0132
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DR. David Gage Mirich, PH.D. is an addiction (substance use disorder) psychologist in Wheat Ridge, CO. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. DR. David Gage Mirich, PH.D. NPI is 1326190083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2860 AMES ST
WHEAT RIDGE, CO
ZIP 80214-520
Phone: (303) 824-0132
Fax: (303) 524-6451

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	2679	COLORADO	Yes
2	103TB0200X	Psychologist	Cognitive & Behavioral	2679	COLORADO	X
3	103TC0700X	Psychologist	Clinical	2679	COLORADO	X
4	103TF0200X	Psychologist	Forensic	2679	COLORADO	X
5	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	2679	COLORADO	X
6	103T00000X	Psychologist		2679	COLORADO	X
7	103TP2701X	Psychologist	Group Psychotherapy	2679	COLORADO	X
8	103TS0200X	Psychologist	School	2679	COLORADO	X
9	106H00000X	Marriage & Family Therapist		2679	COLORADO	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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