THE VAIL MIND CENTER (NPI# 1063077600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063077600 |
Entity Type | Organization |
Organization Name | THE VAIL MIND CENTER |
Other Organization Name | THE CHILD MIND CENTER |
Practice Address |
210 Edwards Village Blvd #d209 Edwards CO 81632 |
Mailing Address |
758 Potato Patch Dr Vail CO 81657-4427 |
Practice Telephone | 6465235264 |
Mailing Telephone | 6465235264 |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-05-16 |
Authorized Official Name | MRS. SHAWNTEE ANN LYONS (OFFICE MANAGER) |
Authorized Official Telephone | 7204342207 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
The Child Mind Center | Former Legal Business Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | The Vail Mind Center LLC | 210 Edwards Village Blvd, D 208, Edweards, CO 81632 |
Street Address |
210 EDWARDS VILLAGE BLVD #D209 |
City | EDWARDS |
State | CO |
Zip Code | 81632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124131099 | Thomas Jerome Palic | Chiropractor | 210 Edwards Village Blvd, Unit A101, Edwards, CO 81632 | 2006-08-16 |
1073167656 | Francesca Wilson | Occupational Therapist | 210 Edwards Village Blvd, D208, Edwards, CO 81632 | 2019-07-31 |
1063750560 | Laina Scolnick | Physical Therapist | 210 Edwards Village Blvd, Suite B202, Edwards, CO 81632 | 2013-01-18 |
1942560990 | Dr. Thomas J. Palic Dc PC | Chiropractor | 210 Edwards Village Blvd, Unit A101, Edwards, CO 81632 | 2012-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
Find all providers in zip 81632 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.