Provider Type Icon

SOUTHERN COLORADO PSYCHIATRIC P.C. NPI 1912028564


NPI Information

NPI: 1912028564
Provider Name: SOUTHERN COLORADO PSYCHIATRIC P.C.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1925 E ORMAN AVE STE G12
PUEBLO, CO
ZIP 81004
Phone: (719) 564-1800
Get Directions

SOUTHERN COLORADO PSYCHIATRIC P.C. is a psychiatry psychiatry neurology in Pueblo, 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. SOUTHERN COLORADO PSYCHIATRIC P.C. NPI is 1912028564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1925 E ORMAN AVE STE G12
PUEBLO, CO
ZIP 81004-563
Phone: (719) 564-1800
Fax: (719) 564-1865

The provider's authorized official is Mary Wright .
The authorized official title is Authorized Agent and has the following contact phone number (719) 564-1800.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 7/13/2009.


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

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1COB4586MEDICARE PINCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.