Grand River Psychiatry PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

32628 Issued in CO

Legal business name

GRAND RIVER PSYCHIATRY PLLC

Practice address

743 Horizon CT
Ste 106
Grand Junction, CO 81506-8701

Phone

(970) 254-8600

Fax

(970) 254-8603

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Kim Mohr, RN

Title

Manager

Phone

(970) 254-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dolores D Tiongco, MD

  • Psychiatry Physician
  • Grand Junction, CO
  • NPI 1821082546
  NPD (past)
• Paul Richard Mascovich, MD

  • Psychiatry Physician
  • Petaluma, CA
  • NPI 1215921184
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1073553715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT",
            "address_2": "SUITE 106",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068701",
            "telephone_number": "970-254-8600",
            "fax_number": "970-254-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT",
            "address_2": "STE 106",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068701",
            "telephone_number": "970-254-8600",
            "fax_number": "970-254-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIVER PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-254-8600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "32628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grand Valley Birth Center LLC
• Grand Valley Counseling LLC

• Specialist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.