# FUNCTIONAL BRAIN IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659505139
- **Authorized official:** DR. STEPHEN GREGORY HIPSKIND MD, PHD (MEDICAL DIRECTOR)
- **Authorized official phone:** (303) 476-6200

## Contact information

- **Practice address:** 7000 S YOSEMITE ST STE 280, CENTENNIAL, CO 80112-2007
- **Practice address phone:** (303) 476-6200
- **Practice address fax:** (303) 476-6201
- **Mailing address:** 7000 S YOSEMITE ST STE 280, CENTENNIAL, CO 80112-2007
- **Mailing address phone:** (303) 476-6200
- **Mailing address fax:** (303) 476-6201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 1105-1 | CO | Yes |

## Other

- **Enumeration date:** 05/12/2009
- **Last updated:** 05/12/2009