NPIMap

Organization Active NPI

Regents of the University of Colorado

Doing business as Parkside Clinic ARTS

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Denver, CO
National Provider Identifier
1235734781
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
REGENTS OF THE UNIVERSITY OF COLORADO
Doing business as
Parkside Clinic ARTS
Practice address
1620 Gaylord St
Denver, CO 80206-1207
Phone
(303) 761-6703
NPI assigned
Dec 2, 2020
Last updated
Dec 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Angi Wold
Title
Arts Director of Operations
Phone
(303) 734-3317

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Clinical Social Worker 1041C0700X NU
Addiction Medicine (Internal Medicine) Physician 207RA0401X NU
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU
Methadone Clinic 261QM2800X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1620 Gaylord St
Denver, CO 80206-1207

Mailing address

3738 W Princeton Cir
Denver, CO 80236-3110
Phone (303) 761-6703

Other identifiers 1

IdentifierTypeStateIssuer
9000141345MedicaidCO

Other names 1

  • Parkside Clinic ARTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Opioid treatment program
Medicare-enrolled since Jul 11, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109000667 CO Part B Supplier - Opioid Treatment Program (Otp) 7012810716 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arvada, CO; Aurora, CO; Denver, CO

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
University of Colorado56 organizations share this tax ID, including this one
Part of
University of Colorado

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1235734781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 W PRINCETON CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363110",
            "telephone_number": "303-761-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GAYLORD ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061207",
            "telephone_number": "303-761-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF COLORADO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "ANGI",
        "authorized_official_title_or_position": "ARTS DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "303-734-3317"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000141345",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Clinic ARTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 16, 2022; 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.