Organization Active NPI

Premier Integrative & Cognitive Medical Institute, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Denver, CO
National Provider Identifier
1215806468
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
PREMIER INTEGRATIVE & COGNITIVE MEDICAL INSTITUTE, LLC
Practice address
400 S Colorado Blvd Ste 860
Denver, CO 80246-1252
Phone
(808) 315-1922
NPI assigned
Nov 4, 2025
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Lynn PuanaNPI 1427222660
Title
Managing Member
Phone
(808) 315-1922

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
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X Primary

Addresses

Primary practice location

400 S Colorado Blvd Ste 860
Denver, CO 80246-1252

Mailing address

8 Cherry Hills Dr
Englewood, CO 80113-4812
Phone (808) 315-1922

National Provider Directory

National Provider Directory

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": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1215806468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHERRY HILLS DR",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134812",
            "telephone_number": "808-315-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD STE 860",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461252",
            "telephone_number": "808-315-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTEGRATIVE & COGNITIVE MEDICAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "PUANA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "808-315-1922"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "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 Nov 4, 2025; 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.