ADVANCED PSYCHIATRIC HEALTH LLC NPI 1285990937

NPI Information

NPI: 1285990937
Provider Name: ADVANCED PSYCHIATRIC HEALTH, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2790 N ACADEMY BLVD
SUITE 312
COLORADO SPRINGS, CO
ZIP 80917
Phone: (719) 444-0250
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ADVANCED PSYCHIATRIC HEALTH, LLC is a family nurse practitioner in Colorado Springs, CO. ADVANCED PSYCHIATRIC HEALTH, LLC NPI is 1285990937. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2790 N ACADEMY BLVD
SUITE 312
COLORADO SPRINGS, CO
ZIP 80917-337
Phone: (719) 444-0250
Fax: (719) 444-0253

The provider's authorized official is Fredi Shae Prochoda .
The authorized official title is Owner, Provider and has the following contact phone number (719) 444-0250.

The enumeration date for this NPI number is 4/6/2012 and was last updated on 6/4/2013.

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	363LF0000X	Nurse Practitioner	Family	6013	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	12080466	OTHER		CAQH
2	38303787	MEDICAID	COLORADO
3	21102384	MEDICAID	COLORADO
4	MB2415823	OTHER		DEA

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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