Organization Active NPI

Mam Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1104430719
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MAM PSYCHIATRY, LLC
Practice address
770 W Hampden Ave Ste 325
Englewood, CO 80110-2133
Phone
(303) 594-9110
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Maryann Morrow, APNNPI 1376893958
Title
Owner/Provider
Phone
(847) 649-5142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

770 W Hampden Ave Ste 325
Englewood, CO 80110-2133

Mailing address

770 W Hampden Ave Ste 325
Englewood, CO 80110-2133
Phone (303) 594-9110

Other identifiers 1

IdentifierTypeStateIssuer
APN.0991617OtherCOMEDICAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1104430719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W HAMPDEN AVE STE 325",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102133",
            "telephone_number": "303-594-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HAMPDEN AVE STE 325",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102133",
            "telephone_number": "303-594-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAM PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "847-649-5142",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APN.0991617",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.