Organization Active NPI

Converge Day Treatment Center

  • Community/Behavioral Health Agency
  • Fort Morgan, CO
National Provider Identifier
1245639491
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1654182 Issued in CO
Legal business name
CONVERGE DAY TREATMENT CENTER
Practice address
324 E Railroad Ave
Suite 500
Fort Morgan, CO 80701-3145
Phone
(970) 867-0998
Fax
(970) 367-1924
NPI assigned
Aug 13, 2014
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Dr. Monica P Buettel, PH.D.NPI 1811290570
Title
Director/Licensed Psychologist
Phone
(970) 867-0998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1654182 CO Primary

Addresses

Primary practice location

324 E Railroad Ave
Suite 500
Fort Morgan, CO 80701-3145

Mailing address

324 E Railroad Ave
Suite 500
Fort Morgan, CO 80701-3145
Phone (970) 867-0998

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": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1245639491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E RAILROAD AVE",
            "address_2": "SUITE 500",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013145",
            "telephone_number": "970-867-0998",
            "fax_number": "970-367-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E RAILROAD AVE",
            "address_2": "SUITE 500",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013145",
            "telephone_number": "970-867-0998",
            "fax_number": "970-367-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGE DAY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "BUETTEL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "970-867-0998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1654182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.