NPIMap

Organization Active NPI

Rocky Mountain Autism Center, Inc

  • Speech-Language Pathologist
  • Lone Tree, CO
National Provider Identifier
1184897175
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
00824284 Issued in CO
Legal business name
ROCKY MOUNTAIN AUTISM CENTER, INC
Practice address
8600 Park Meadows Drive
Suite 800
Lone Tree, CO 80124-2757
Phone
(303) 985-1133
NPI assigned
Apr 10, 2008
Last updated
Mar 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Patrick J RydellNPI 1457501637
Title
Director
Phone
(303) 985-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 00824284 CO Primary

Addresses

Primary practice location

8600 Park Meadows Drive
Suite 800
Lone Tree, CO 80124-2757

Mailing address

8600 Park Meadows Drive
Suite 800
Lone Tree, CO 80124-2757
Phone (303) 985-1133

Other identifiers 3

IdentifierTypeStateIssuer
88320570MedicaidCO
83358251MedicaidCO
31401848MedicaidCO

National Provider Directory

National Provider Directory

Locations

8600 Park Meadows Dr
Ste 800
Lone Tree, CO 80124
Phone (303) 985-1133

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1184897175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 PARK MEADOWS DRIVE",
            "address_2": "SUITE 800",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242757",
            "telephone_number": "303-985-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 PARK MEADOWS DRIVE",
            "address_2": "SUITE 800",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242757",
            "telephone_number": "303-985-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN AUTISM CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "RYDELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-985-1133",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "00824284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88320570",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83358251",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31401848",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.