MENTAL HEALTH CENTER OF BOULDER COUNTY (NPI# 1518080449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518080449 |
Entity Type | Organization |
Organization Name | MENTAL HEALTH CENTER OF BOULDER COUNTY |
Other Organization Name | WARNER HOUSE |
Practice Address |
2833 Broadway St Boulder CO 80304-3544 |
Practice Telephone | 3034492217 |
Mailing Telephone | 3034492217 |
Enumeration Date | 2007-04-07 |
Last Update Date | 2020-10-01 |
Authorized Official Name | MR. ROBERT MARCH (TEAM LEADER) |
Authorized Official Telephone | 3034492217 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Warner House | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942420559 | Mental Health Center of Boulder County | Community/Behavioral Health | 899 Us Highway 287 Ste 300, Broomfield, CO 80020-7319 | 2007-04-26 |
1760544373 | Mental Health Center of Boulder County | Pharmacy | 3180 Airport Rd, Boulder, CO 80301-2208 | 2006-12-14 |
1114093010 | Mental Health Center of Boulder County | Community/Behavioral Health | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2006-11-24 |
1740703586 | Mental Health Center of Boulder County | Clinic/Center | 1333 Iris Ave, Boulder, CO 80304-2226 | 2017-07-24 |
1245693829 | Mental Health Center of Boulder County | Counselor | 3470 Broadway St, Boulder, CO 80304-1824 | 2016-04-01 |
1760690648 | Mental Health Center of Boulder County | Community Based Residential Treatment Facility, Mental Illness | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-05-21 |
1184774135 | Mental Health Center of Boulder County | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2007-01-11 |
1639229586 | Mental Health Center of Boulder County | Psychiatric Hospital | 834 S Sherman St, Longmont, CO 80501-6323 | 2007-01-11 |
1083762728 | Mental Health Center of Boulder County | Community Based Residential Treatment Facility, Mental Illness | 3100 Bucknell Ct, Boulder, CO 80305-3465 | 2007-01-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | MENTAL HEALTH CENTER OF BOULDER COUNTY, INC. | 1455 Dixon Avenue, Suite 300, Lafayette, CO 80026 |
Street Address |
2833 BROADWAY ST |
City | BOULDER |
State | CO |
Zip Code | 80304-3544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558469031 | Lynette Denise Mauge Marshall | Registered Nurse | 2833 Broadway St, Boulder, CO 80304-3544 | 2006-09-20 |
1447807169 | Anemone Ila Zeeb | Counselor | 2833 Broadway St, Boulder, CO 80304-3544 | 2019-08-19 |
1811551351 | Caroline Marie Hall | Counselor | 2833 Broadway St, Boulder, CO 80304-3544 | 2019-04-30 |
1306340666 | Megan Katelle White | Counselor | 2833 Broadway St, Boulder, CO 80304-3544 | 2018-03-21 |
1023545522 | Susan Brown | Counselor | 2833 Broadway St, Boulder, CO 80304-3544 | 2017-05-15 |
1871961623 | Tamra Palmer | Case Manager/Care Coordinator | 2833 Broadway St, Boulder, CO 80304-3544 | 2015-09-10 |
1134337538 | Carol A Geist | Counselor | 2833 Broadway St, Care of Warner House, Boulder, CO 80304-3544 | 2007-05-18 |
1255451316 | Phillip Joseph Moynihan | Counselor | 2833 Broadway St, Boulder, CO 80304-3544 | 2007-03-30 |
1003942624 | Jim Pekarek | Counselor | 2833 Broadway St, Boulder, CO 80304-3544 | 2007-02-26 |
1760577803 | Irma Jean Danzl | Registered Nurse | 2833 Broadway St, Boulder, CO 80304-3544 | 2006-10-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
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Taxonomy Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144606294 | Colorado Recovert, Inc. | Psychiatric Residential Treatment Facility | 2818 13th St., Boulder, CO 80304 | 2015-07-30 |
1912342171 | Aim House, LLC | Psychiatric Residential Treatment Facility | 2000 21st St, Boulder, CO 80302-4501 | 2013-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
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1588279152 | Seeds Wilderness Therapy | Psychiatric Residential Treatment Facility | 14488 6175 Rd, Montrose, CO 81403-9322 | 2020-09-10 |
1376903740 | Denver Vamc | Psychiatric Residential Treatment Facility | 7350 W Eastman Pl, Lakewood, CO 80227-5006 | 2016-02-29 |
1053740571 | Minjae An | Psychiatric Residential Treatment Facility | 4500 S Monaco Street Apt.1624, Denver, CO 80237 | 2013-11-05 |
1932380144 | Lost and Found | Psychiatric Residential Treatment Facility | 6700 West 44th Ave., Wheat Ridge, CO 80033 | 2007-11-15 |
1427258979 | Flatirons Behavorial Health | Psychiatric Residential Treatment Facility | 2255 S 88 St, Louisville, CO 80227-9716 | 2007-07-23 |
1376689042 | Cornell Corrections of California, Inc. | Psychiatric Residential Treatment Facility | 700 Fourmile Pkwy, Canon City, CO 81212-9114 | 2007-01-30 |
1437243037 | Adolescent & Family Institute of Co | Psychiatric Residential Treatment Facility | 10001 W. 32nd Ave., Wheat Ridge, CO 80033 | 2006-10-03 |
1023591104 | Sandstone Care Cos, LLC | Psychiatric Residential Treatment Facility | 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 | 2018-09-13 |
1891284964 | Denver Vamc | Psychiatric Residential Treatment Facility | 1055 Clermont St, Denver, CO 80220 | 2018-05-04 |
1184815680 | Glen Alan Lacher | Psychiatric Residential Treatment Facility | 10001 W 32nd Ave, Wheat Ridge, CO 80033-5601 | 2007-08-08 |
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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.