PSYKE, LLC (NPI# 1386134112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386134112 |
| Entity Type | Organization |
| Organization Name | PSYKE, LLC |
| Practice Address |
104 South Main Street Mancos CO 81328 |
| Mailing Address |
41263 Road G Mancos CO 81328 |
| Practice Telephone | 9707597328 |
| Practice Fax Number | 9705127848 |
| Mailing Telephone | 9707597328 |
| Mailing Fax Number | 9705127848 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | POLLY SIKORA (OWNER/PROVIDER) |
| Authorized Official Telephone | 9707597328 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0005583 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 881295 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Psyke, LLC | 104 S Main Street, Suite 5b, Mancos, CO 81328 |
| Street Address |
104 SOUTH MAIN STREET |
| City | MANCOS |
| State | CO |
| Zip Code | 81328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396110714 | Jennifer Hight | Counselor | 104 Souh Main Street #5b, Mancos, CO 81328 | 2015-12-10 |
| 1598189904 | Kathryn Henneman | Occupational Therapist | 35510 Cty Rd H.5, Mancos, CO 81328 | 2014-02-06 |
| 1700195054 | Essence of Healing, PC | Chiropractor | 164 East Frontage Street, Mancos, CO 81328 | 2010-10-05 |
| 1285865949 | Travis Lee White | Chiropractor | 164 E. Frontage St, Mancos, CO 81328 | 2009-07-29 |
| 1750569364 | Margaret P Johnson Gaddis | Psychologist | 40966 Road J, Mancos, CO 81328 | 2008-02-06 |
| 1407059819 | Nancy Jean Segel | Physical Therapist | 1221 Mildred Rd, Vista Grand Inn, Cortez, CO 81328 | 2007-06-06 |
| 1215141965 | Mancos Ambulance Association | Ambulance | 41595 Hyw 160, Mancos, CO 81328 | 2007-05-10 |
| 1780685016 | Lucinda Glass | Chiropractor | 164 E Frontage St, Mancos, CO 81328 | 2005-08-09 |
| 1902162753 | Southwest Health System, Inc. | Clinic/Center | 111 Railroad Ave, Mancos, CO 81328 | 2012-04-05 |
| 1306160197 | Polly Sikora | Counselor | 104 S Main Street, Suite 5b, Mancos, CO 81328 | 2010-03-23 |
| Find all providers in zip 81328 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306160197 | Polly Sikora | Counselor | 104 S Main Street, Suite 5b, Mancos, CO 81328 | 2010-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104636 | Anastasia Canfield | Counselor | 12341 E Cornell Ave # 18, Aurora, CO 80014-3323 | 2020-11-07 |
| 1619577228 | Barry Fowler | Counselor | 19649 W 92nd Dr Apt A, Arvada, CO 80007-8175 | 2020-11-01 |
| 1700486388 | Judy Lynn Austin | Counselor | 281 Gulch Rd, Durango, CO 81303-6452 | 2020-10-31 |
| 1912506536 | David Nasralla | Counselor | 422 Pagosa St Ste 9, Pagosa Springs, CO 81147-9955 | 2020-10-24 |
| 1134727308 | Bristlecone Family Counseling: Mental Health Counseling for Children & | Counselor | 700 Valley View Dr, Woodland Park, CO 80863-8370 | 2020-10-11 |
| 1043818230 | Carly Barone | Counselor | 9503 Castle Ridge Cir, Highlands Ranch, CO 80129-5700 | 2020-10-11 |
| 1629675160 | Allison Bratsch, Lpc, LLC | Counselor | 8791 Wolff Ct Ste 230, Westminster, CO 80031-3693 | 2020-10-07 |
| 1881291516 | Erin Michelle Lair | Counselor | 120 Kilgore St, Colorado Springs, CO 80911-2231 | 2020-10-06 |
| 1457968646 | Reginald A Moore | Counselor | 2878 W Riverwalk Cir Unit B, Littleton, CO 80123-8919 | 2020-09-30 |
| 1497362826 | Stacey Stafford | Counselor | 1511 W 124th Ave Ste 200, Westminster, CO 80234-1882 | 2020-09-29 |
| 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.