Aquamind Psychiatry PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Fort Collins, CO
NPI 1083455992 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1083455992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- AQUAMIND PSYCHIATRY PLLC
- Practice address
- 1608 Whedbee St
Fort Collins, CO 80525-1045 - Phone
- (404) 406-2763
- Fax
- (970) 788-7279
- NPI assigned
- Jun 4, 2024
- Organization subpart
- No
Authorized official
- Name
- Rosa Cruz Kauffman, MSN, PMHNP-BC
- Title
- Owner
- Phone
- (404) 406-2763
Practitioners 1
-
Rosa A Cruz Kauffman, MSN, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240830001371 | CO | Part B Supplier - Clinic/Group Practice | 7911446216 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Collins, CO |
National Provider Directory
Locations
301 S Howes St
Ste 2101
Fort Collins, CO 80521
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
1608 Whedbee St
Fort Collins, CO 80525-1045
Mailing address
1608 Whedbee St
Fort Collins, CO 80525-1045
Phone (404) 406-2763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457715831 | Medicaid | CO |
Other names
- AquaMind Psych
Other providers in Fort Collins, CO
- Joshua Yale Apple
- Kaitlynn Apple
- Apricity Counseling and Wellness, LLC
- Aqua Dynamics Physical Therapy LLC
- Aqua Dynamics Physical Therapy LLC
- Rosemarie Aquino
- Aspen Nicole Aragon
- Callie Aragon
- Devin Janelle Aragon
- Kara Aragon
All providers in Fort Collins, CO · Psychiatric/Mental Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.