Advanced Psychiatric Health, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6013 Issued in CO

Legal business name

ADVANCED PSYCHIATRIC HEALTH, LLC

Practice address

2790 N Academy Blvd
Suite 312
Colorado Springs, CO 80917-5337

Phone

(719) 444-0250

Fax

(719) 444-0253

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Fredi Shae Prochoda, DNP, FNP, FPMHNPNPI 1023331477

Title

Owner, Provider

Phone

(719) 444-0250

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fredi Shae Prochoda, DNP,MSN, FNP, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenwood Village, CO
  • NPI 1023331477

  Family

  NPD Authorized official

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1285990937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 N ACADEMY BLVD",
            "address_2": "SUITE 312",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175337",
            "telephone_number": "719-444-0250",
            "fax_number": "719-444-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 N ACADEMY BLVD",
            "address_2": "SUITE 312",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175337",
            "telephone_number": "719-444-0250",
            "fax_number": "719-444-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHIATRIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PROCHODA",
        "authorized_official_first_name": "FREDI",
        "authorized_official_middle_name": "SHAE",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "719-444-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP, FPMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "6013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38303787",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21102384",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12080466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.