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SOURCE PSYCHIATRY PC NPI 1215606918


NPI Information

NPI: 1215606918
Provider Name: SOURCE PSYCHIATRY, PC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1942 BROADWAY STE 314C
BOULDER, CO
ZIP 80302
Phone: (720) 310-0656
Get Directions

SOURCE PSYCHIATRY, PC is a psychiatry psychiatry neurology in Boulder, CO. The provider is 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. SOURCE PSYCHIATRY, PC NPI is 1215606918. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1942 BROADWAY STE 314C
BOULDER, CO
ZIP 80302-233
Phone: (720) 310-0656

The provider's authorized official is Audrey Hinshaw .
The authorized official title is Practice Manager and has the following contact phone number (720) 310-0656.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 9/7/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes

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: 4/28/2024

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