Mental Health Center of Boulder

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10 Issued in CO

Legal business name

MENTAL HEALTH CENTER OF BOULDER

Practice address

3400 Broadway St
Boulder, CO 80304-1824

Phone

(303) 441-1535

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Jesseca McDonald, MA, CAC III

Title

Placement Interventionist

Phone

(303) 441-1535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1326217167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824",
            "telephone_number": "303-441-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH CENTER OF BOULDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JESSECA",
        "authorized_official_title_or_position": "PLACEMENT INTERVENTIONIST",
        "authorized_official_telephone_number": "303-441-1535",
        "authorized_official_credential": "MA, CAC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consuelo Elizabeth Mendez-Shannon, PH.D, LMSW
• Mark David Menich, MD
• Radhika Menon, PT
• Mental Health Center Boulder County
• Mental Health Center Boulder County
• Mental Health Center of Boulder and Broomfield Counties
• Mental Health Center of Boulder County
• Mental Health Center Serving Broomfield and Boulder Counties
• Mental Health Partners
• Stephen Richard Menyhart, RD, SNS

• 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 Feb 26, 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.