NPIMap

Organization Active NPI

Rocky Mountain Behavioral Medicine LLC

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1215527809
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ROCKY MOUNTAIN BEHAVIORAL MEDICINE LLC
Practice address
1191 S Parker Rd Ste 101
Denver, CO 80231-2153
Phone
(720) 633-9693
NPI assigned
Jan 19, 2021
Organization subpart
Yes
Parent organization
ROCKY MOUNTAIN BEHAVIORAL MEDICINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Ralena K Generous
Title
Authorized Official
Phone
(518) 307-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1191 S Parker Rd Ste 101
Denver, CO 80231-2153

Mailing address

1191 S Parker Rd Ste 101
Denver, CO 80231-2153
Phone (720) 633-9693

Other practice location 1

11705 Airport Way Ste 308
Broomfield, CO 80021-2711
Phone (720) 633-9693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250225000562 CO Part B Supplier - Clinic/Group Practice 5890079073 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Part of
Rocky MTN Behavioral Medc

Locations

2050 S Oneida St
Ste 102
Denver, CO 80224
Phone (720) 633-9693

1191 S Parker Rd
Ste 101
Denver, CO 80231
Phone (720) 633-9693

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1215527809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 S PARKER RD STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312153",
            "telephone_number": "720-633-9693",
            "fax_number": "720-386-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 S PARKER RD STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312153",
            "telephone_number": "720-633-9693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11705 Airport Way Ste 308",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800212711",
            "country_code": "US",
            "telephone_number": "720-633-9693",
            "fax_number": "720-386-1086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN BEHAVIORAL MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKY MOUNTAIN BEHAVIORAL MEDICINE LLC",
        "enumeration_date": "2021-01-19",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "GENEROUS",
        "authorized_official_first_name": "RALENA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "518-307-9004"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.