Eileen Purdy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EILEEN PURDY LLC

Practice address

1200 28TH St Street
Boulder, CO 80303-1756

Phone

(503) 320-0334

NPI assigned

Feb 4, 2021

Organization subpart

No

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

Authorized official

Name

Eileen Purdy, LCSW

Title

Owner/MBH

Phone

(503) 320-0334

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1003408626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HURRICANE HILL DRIVE",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804669730",
            "telephone_number": "503-320-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 28TH ST STREET",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031756",
            "telephone_number": "503-320-0334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Hurricane Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "CO",
            "postal_code": "804669730",
            "country_code": "US",
            "telephone_number": "503-320-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EILEEN PURDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER/MBH",
        "authorized_official_telephone_number": "503-320-0334",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Egger, OTD, OTR/L
• Jennifer Egloff, MSW
• Jody Ehlert
• Katy Ehnstrom, DPT
• Colleen Ehrnstrom, PHD
• Joy Eilythia Misra, PH.D., LPC.
• Isabella Ekeze
• Tess Eklund
• Trevor Ekstrom, LPC, LAC
• Elan Sleep LLC

• Adult Mental Health Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.