Jla Medical Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18076 Issued in CO

Legal business name

JLA MEDICAL SERVICES

Practice address

255 Canyon Blvd
Suite 300
Boulder, CO 80302-4979

Phone

(303) 449-7541

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Laine Gerritsen

Title

Billing Agent

Phone

(303) 499-2217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1023230257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 LOVE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032975",
            "telephone_number": "303-499-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CANYON BLVD",
            "address_2": "SUITE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024979",
            "telephone_number": "303-449-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "GERRITSEN",
        "authorized_official_first_name": "LAINE",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "303-499-2217"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "18076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewish Family Service of Colorado
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• Jilson Corporation
• Jithay Har Counseling
• Rau Devereau Joblinske, LPCC
• Jody K Shevins ND Inc
• Sheryl Elaine Joel, CRMT
• Harald Joesaar, DDS
• Joey Stoops LLC

• Psychiatry Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.