Organization Active NPI

Lookout Managment LLC

  • Substance Abuse Rehabilitation Facility
  • Boulder, CO
National Provider Identifier
1003279282
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LOOKOUT MANAGMENT LLC
Practice address
6901 Lookout Rd
Boulder, CO 80301-3529
Phone
(303) 443-7695
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Doree Newbery, MS, CAC III, MAC
Title
Clinical Operations Director
Phone
(303) 443-7695

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

6901 Lookout Rd
Boulder, CO 80301-3529

Mailing address

6901 Lookout Rd
Boulder, CO 80301-3529
Phone (303) 443-7695

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1003279282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 LOOKOUT RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013529",
            "telephone_number": "303-443-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 LOOKOUT RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013529",
            "telephone_number": "303-443-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKOUT MANAGMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "NEWBERY",
        "authorized_official_first_name": "DOREE",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "303-443-7695",
        "authorized_official_credential": "MS, CAC III, MAC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.