NPIMap

Organization Active NPI

Boulder Cognitive and Linguistic Center Inc

Doing business as Colorado Concussion Clinic

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Wheat Ridge, CO
National Provider Identifier
1205215662
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P0301X
Legal business name
BOULDER COGNITIVE AND LINGUISTIC CENTER INC
Doing business as
Colorado Concussion Clinic
Practice address
4251 Kipling St Unit 405
Wheat Ridge, CO 80033-6833
Phone
(303) 932-2030
NPI assigned
May 19, 2015
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Sarah Brittain, M.S. CCC SLP
Title
President
Phone
(303) 932-2030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0002016 CO
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X NU Primary

Addresses

Primary practice location

4251 Kipling St Unit 405
Wheat Ridge, CO 80033-6833

Mailing address

4251 Kipling St Unit 405
Wheat Ridge, CO 80033-6833
Phone (303) 932-2030

Other practice location 1

1790 30th St Ste 120
Boulder, CO 80301-1022
Phone (303) 932-2030

Other names 1

  • Colorado Concussion Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150626001147 CO Part B Supplier - Clinic/Group Practice 5092027409 Receives reassigned benefits from 30 practitioners
1 other NPI on this enrollment
Practice locations: Wheat Ridge, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1790 30th St
Ste 120
Boulder, CO 80301
Phone (303) 447-0022

1700 E 17th Ave
Ste 102
Denver, CO 80218
Phone (303) 447-0022

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1205215662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 405",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336833",
            "telephone_number": "303-932-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 405",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336833",
            "telephone_number": "303-932-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1790 30th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011022",
            "country_code": "US",
            "telephone_number": "303-932-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOULDER COGNITIVE AND LINGUISTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-932-2030",
        "authorized_official_credential": "M.S. CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002016",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Concussion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.

Verify at the official NPI Registry.