NPIMap

Organization Active NPI

Rocky Mountian Youth Clinics

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1285019430
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4312 Issued in CO
Legal business name
ROCKY MOUNTIAN YOUTH CLINICS
Practice address
9197 Grant St
Suite 200
Thornton, CO 80229-4329
Phone
(303) 450-3690
Fax
(303) 962-1511
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Sophia Meharena, DO
Title
Medical Director
Phone
(303) 450-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4312 CO Primary

Addresses

Primary practice location

9197 Grant St
Suite 200
Thornton, CO 80229-4329

Mailing address

9197 Grant St
Suite 100
Thornton, CO 80229-4329
Phone (303) 450-3690

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountian Youth Clinics24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1285019430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9197 GRANT ST",
            "address_2": "SUITE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294329",
            "telephone_number": "303-450-3690",
            "fax_number": "303-962-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9197 GRANT ST",
            "address_2": "SUITE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294329",
            "telephone_number": "303-450-3690",
            "fax_number": "303-962-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTIAN YOUTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MEHARENA",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-450-3690",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "4312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.