Active NPI
Inner Mountain Psychiatry, Inc.
- Psychiatry Physician
- Breckenridge, CO
National Provider Identifier
1144524760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 45646
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryNPI 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.