Mental Health Center of Boulder and Broomfield Counties

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

991223 Issued in CO

Legal business name

MENTAL HEALTH CENTER OF BOULDER AND BROOMFIELD COUNTIES

Practice address

1333 Iris Ave
Boulder, CO 80304-2226

Phone

(303) 449-2027

Fax

(303) 786-9247

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cythia Dafler, M.D.

Title

Clinical Director

Phone

(303) 443-8500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1255505855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 IRIS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042226",
            "telephone_number": "303-449-2027",
            "fax_number": "303-786-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 IRIS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042226",
            "telephone_number": "303-449-2027",
            "fax_number": "303-786-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH CENTER OF BOULDER AND BROOMFIELD COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DAFLER",
        "authorized_official_first_name": "CYTHIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "303-443-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "991223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Menich, MD
• Radhika Menon, PT
• Mental Health Center Boulder County
• Mental Health Center Boulder County
• Mental Health Center of Boulder
• Mental Health Center of Boulder County
• Mental Health Center Serving Broomfield and Boulder Counties
• Mental Health Partners
• Stephen Richard Menyhart, RD, SNS
• Gliana Liz Mercado

• Community/Behavioral Health Agency in Boulder, CO
• Providers in Boulder, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.