NPIMap

Organization Active NPI

Eileen Purdy LLC

  • Adult Mental Health Clinic/Center
  • Boulder, CO
National Provider Identifier
1003408626
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Eileen Purdy, LCSWNPI 1922690544
Title
Owner/MBH
Phone
(503) 320-0334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1200 28TH St Street
Boulder, CO 80303-1756

Mailing address

403 Hurricane Hill Drive
Nederland, CO 80466-9730
Phone (503) 320-0334

Other practice location 1

403 Hurricane Hill Dr
Nederland, CO 80466-9730
Phone (503) 320-0334

National Provider Directory

National Provider Directory

Locations

1200 28th St
Boulder, CO 80303
Phone (503) 320-0334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

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 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.