Active NPI
C Lynn Partridge MD LLC
- Adult Mental Health Clinic/Center
- Durango, CO
National Provider Identifier
1205179397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 20131082321
- Legal business name
- C LYNN PARTRIDGE MD LLC
- Practice address
- 2243 Main Ave
Ste 4E
Durango, CO 81301-4699 - Phone
- (970) 749-8895
- Fax
- (970) 385-4909
- NPI assigned
- Mar 27, 2013
- Last updated
- Mar 27, 2013
- 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
- Carole Lynn Partridge, MD
- Title
- Manager
- Phone
- (970) 749-8895
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 20131082321 | CO | Primary |
Addresses
Primary practice location
2243 Main Ave
Ste 4E
Durango, CO 81301-4699
Mailing address
2243 Main Ave
Ste 4E
Durango, CO 81301-4699
Phone (970) 749-8895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2243 Main Ave
Ste 4E
Durango, CO 81301
Phone (970) 749-8895
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatry Physician
- Durango, CO
- NPI 1558440537
-
- Mental Health Counselor
- Durango, CO
- NPI 1043362825
-
- Clinical Social Worker
- Durango, CO
- NPI 1801027388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1205179397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 MAIN AVE",
"address_2": "STE 4E",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014699",
"telephone_number": "970-749-8895",
"fax_number": "970-385-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 MAIN AVE",
"address_2": "STE 4E",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014699",
"telephone_number": "970-749-8895",
"fax_number": "970-385-4909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C LYNN PARTRIDGE MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "PARTRIDGE",
"authorized_official_first_name": "CAROLE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "970-749-8895",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CO",
"license": "20131082321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.