NPIMap

Organization Active NPI

Joseph Yeretsian, PC

  • Psychiatry Physician
  • Fort Collins, CO
National Provider Identifier
1164034914
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JOSEPH YERETSIAN, PC
Practice address
155 Boardwalk Dr Ste 400
Fort Collins, CO 80525-3040
Phone
(970) 549-0235
NPI assigned
Aug 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Dr. Joseph Yeretsian, MDNPI 1003070210
Title
President
Phone
(970) 549-0235

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

155 Boardwalk Dr Ste 400
Fort Collins, CO 80525-3040

Mailing address

155 Boardwalk Dr Ste 400
Fort Collins, CO 80525-3040
Phone (970) 549-0235

Other names 1

  • OptiMindHealth Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@optimindhealth.com Other

National Provider Directory

National Provider Directory
Tax ID family
Joseph Yeretsian PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the 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": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1164034914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BOARDWALK DR STE 400",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253040",
            "telephone_number": "970-549-0235",
            "fax_number": "617-507-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BOARDWALK DR STE 400",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253040",
            "telephone_number": "970-549-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH YERETSIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "YERETSIAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-549-0235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@optimindhealth.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA complaint email storage",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "155 Boardwalk Dr Ste 400",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805253040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OptiMindHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.