COLORADO MEDICAL PSYCHIATRY, LLC (NPI# 1194879064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194879064 |
| Entity Type | Organization |
| Organization Name | COLORADO MEDICAL PSYCHIATRY, LLC |
| Practice Address |
4770 Baseline Rd Suite 310 Boulder CO 80303-2666 |
| Practice Telephone | 7203040083 |
| Practice Fax Number | 7203040114 |
| Mailing Telephone | 7203040083 |
| Mailing Fax Number | 7203040114 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KATHY J BROZEK (BILLING MANAGER) |
| Authorized Official Telephone | 9704541213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
4770 BASELINE RD SUITE 310 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033109962 | Karen Ann Mccarthy | Psychologist | 4770 Baseline Rd, Suite 300, Boulder, CO 80303-2666 | 2005-10-22 |
| 1306308945 | Dolores Muzer | Counselor | 4770 Baseline Rd, Boulder, CO 80303-2666 | 2019-04-02 |
| 1396109435 | John Montoya Dds PC | Dentist | 4770 Baseline Rd, Suite 310, Boulder, CO 80303-2666 | 2016-04-05 |
| 1396959219 | Karin Chandler Johnson | Counselor | 4770 Baseline Rd, Ste 310, Boulder, CO 80303-2666 | 2007-05-09 |
| 1114068723 | Lanning S. Schiller | Psychologist | 4770 Baseline Rd, Suite 300, Boulder, CO 80303-2666 | 2007-02-08 |
| 1851314603 | John Morris | Psychiatry & Neurology | 4770 Baseline Rd, Suite 310, Boulder, CO 80303-2666 | 2006-07-25 |
| 1386667137 | Lisa Morrison | Nurse Practitioner | 4770 Baseline Rd, Suite 310, Boulder, CO 80303-2666 | 2006-07-25 |
| 1184645202 | Eve Kilmer | Psychologist | 4770 Baseline Rd, Suite 315, Boulder, CO 80303-2666 | 2006-07-22 |
| 1033156427 | Mark G. Leifeste | Specialist | 4770 Baseline Rd, Suite #300, Boulder, CO 80303-2666 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746643 | Kaitlin Sisk | Specialist | 1405 S Broadway St, Boulder, CO 80305-6723 | 2020-10-08 |
| 1356719058 | Jenna Heilers Otr LLC | Specialist | 2135 Upland Ave, Boulder, CO 80304-0937 | 2015-09-11 |
| 1316284235 | Rocky Mountain Center for Advanced Medicine | Specialist | 4790 Table Mesa Dr Ste 202, Boulder, CO 80305-5660 | 2013-01-11 |
| 1609123470 | Terry Ann Pallister | Specialist | 16 Whitetail Rd, Boulder, MT 59632-9727 | 2012-08-10 |
| 1104107960 | Denise K Bell | Specialist | 2325 Balsam Dr, Boulder, CO 80304-3709 | 2011-09-06 |
| 1548569445 | Sydney Ann Cooper | Specialist | 2956 Glenwood Dr, Boulder, CO 80301-1306 | 2011-03-18 |
| 1437337094 | Timothy Justice Md PC | Specialist | 425 College Ave, Boulder, CO 80302-7131 | 2008-02-06 |
| 1134307606 | Frank Guerra Md PC | Specialist | 1155 Alpine Ave Ste 385, Boulder, CO 80304-3495 | 2008-02-06 |
| 1598949737 | Connie L Grenz | Specialist | 303 East Third Ave, Boulder, MT 59632-1215 | 2007-12-24 |
| 1295938223 | Amy Lynne Stone | Specialist | 2691 Juniper Ave, Boulder, CO 80304-2462 | 2007-06-07 |
| Find all providers in BOULDER | ||||
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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.