INTEGRATIVE PSYCHIATRY CENTER OF BOULDER LLC (NPI# 1528676616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528676616 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE PSYCHIATRY CENTER OF BOULDER LLC |
| Practice Address |
5420 Arapahoe Ave Ste 1 Boulder CO 80303-1250 |
| Practice Telephone | 3032609685 |
| Mailing Telephone | 3032609685 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | DR. JOSEPH WILLIAM VAN DERVEER III (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3032609685 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
5420 ARAPAHOE AVE STE 1 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760585749 | Elizabeth Cordes Rose | Psychiatry & Neurology | 5420 Arapahoe Ave Ste 1, Boulder, CO 80303-1250 | 2006-09-06 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285029421 | Sabrina Renteria | Psychiatry & Neurology | 1641 Yarmouth Ave, Boulder, CO 80304 | 2015-04-04 |
| 1154755379 | Geoffrey B Heron, M.d., P.C. | Psychiatry & Neurology | 2500 - 30th Street, Suite 302, Boulder, CO 80301-1239 | 2013-08-23 |
| 1104195817 | David Rosenthal | Psychiatry & Neurology | 880 Union Ave, Boulder, CO 80304-0709 | 2011-12-26 |
| 1578883518 | Gerald Marvin Dank | Psychiatry & Neurology | 3788 Spring Valley Rd, Boulder, CO 80304-1050 | 2010-06-01 |
| 1992036834 | Colorado Psychiatric Associataes, PC | Psychiatry & Neurology | 2501 Walnut St Ste 203, Boulder, CO 80302-5753 | 2010-01-15 |
| 1841424603 | Darrick Gary May | Psychiatry & Neurology | 1722 14th St Ste 150, Boulder, CO 80302-6334 | 2009-05-08 |
| 1639328321 | Gerald Chitters Md Pllc | Psychiatry & Neurology | 954 North St Ste 302, Boulder, CO 80304-3307 | 2008-09-17 |
| 1700075892 | Michael A. Zona | Psychiatry & Neurology | 6654 Gunpark Drive, #101, Boulder, CO 80301 | 2007-10-15 |
| 1356550131 | Joel Gregory Winner | Psychiatry & Neurology | 2595 Canyon Blvd, Suite 100, Boulder, CO 80302-6745 | 2007-05-21 |
| 1881713675 | Donald A. Misch | Psychiatry & Neurology | 1240 Pine St, Suite 213, Boulder, CO 80302-4809 | 2007-03-29 |
| 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.