Organization Active NPI

Inner Mountain Psychiatry, Inc.

  • Psychiatry Physician
  • Breckenridge, CO
National Provider Identifier
1144524760
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
45646 Issued in CO
Legal business name
INNER MOUNTAIN PSYCHIATRY, INC.
Practice address
1905 Airport Road
Breckenridge, CO 80424-8498
Phone
(970) 485-5369
NPI assigned
Dec 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Dr. William Paul Elsass, MD
Title
Ceo
Phone
(970) 485-5369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 45646 CO Primary

Addresses

Primary practice location

1905 Airport Road
Breckenridge, CO 80424-8498

Mailing address

PO Box 8498
Breckenridge, CO 80424-8498
Phone (970) 485-5369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1144524760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8498",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248498",
            "telephone_number": "970-485-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 AIRPORT ROAD",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248498",
            "telephone_number": "970-485-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER MOUNTAIN PSYCHIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "ELSASS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-485-5369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "45646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.