INTEGRATION MENTAL HEALTH NPI 1134592256

NPI Information

NPI: 1134592256
Provider Name: INTEGRATION MENTAL HEALTH
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Adult

Address:
1919 65TH AVE STE C
GREELEY, CO
ZIP 80634
Phone: (970) 590-1138
Get Directions

INTEGRATION MENTAL HEALTH is a psychiatric/mental health and adult clinical nurse specialist in Greeley, CO. INTEGRATION MENTAL HEALTH NPI is 1134592256. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1919 65TH AVE STE C
GREELEY, CO
ZIP 80634-965
Phone: (970) 590-1138

The provider's authorized official is Susan Ponder .
The authorized official title is Owner and has the following contact phone number (970) 590-1138.

The enumeration date for this NPI number is 11/11/2015 and was last updated on 11/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	130627	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	COA108643	MEDICARE UPIN	COLORADO
2	1336496330	OTHER	COLORADO	NPI-INDIVIDUAL
3	15283739	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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