Organization Active NPI

Hummingbird Psychiatry

  • Adult Mental Health Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1205466497
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HUMMINGBIRD PSYCHIATRY
Practice address
204 Walnut St Ste F
Fort Collins, CO 80524-4441
Phone
(802) 316-8116
Fax
(608) 360-9104
NPI assigned
Jan 16, 2020
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Dr. Dustin Dippen, MDNPI 1881936177
Title
Owner
Phone
(802) 316-8116

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

204 Walnut St Ste F
Fort Collins, CO 80524-4441

Mailing address

204 Walnut St Ste F
Fort Collins, CO 80524-4441
Phone (802) 316-8116

Other identifiers 1

IdentifierTypeStateIssuer
F812198MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drdippen@freeflowpsychiatry.com Direct

National Provider Directory

National Provider Directory

Locations

204 Walnut St
Ste F
Fort Collins, CO 80524
Phone (970) 818-7747

Practitioners & affiliated clinicians

Practitioners 1

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": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1205466497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WALNUT ST STE F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244441",
            "telephone_number": "802-316-8116",
            "fax_number": "608-360-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WALNUT ST STE F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244441",
            "telephone_number": "802-316-8116",
            "fax_number": "608-360-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMINGBIRD PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "DIPPEN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-316-8116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F812198",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdippen@freeflowpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "204 Walnut St Ste F",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805244441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jan 16, 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.