Provider Demographics
NPI:1962947168
Name:ALTSCHUH, ADAM (PSYD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:ALTSCHUH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 S CLARKSON ST
Mailing Address - Street 2:#302
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-1625
Mailing Address - Country:US
Mailing Address - Phone:720-515-9427
Mailing Address - Fax:
Practice Address - Street 1:33A HARVARD ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7989
Practice Address - Country:US
Practice Address - Phone:720-515-9427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-23
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10988101YM0800X
CO4553103TA0700X, 103TH0004X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth