Organization Active NPI

Holistic and Compassionate Care Mental Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1346086790
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOLISTIC AND COMPASSIONATE CARE MENTAL HEALTH SERVICES, LLC
Practice address
18601 Green Valley Ranch Blvd Unit 108
Denver, CO 80249-8371
Phone
(720) 229-2748
NPI assigned
Jul 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Shamim NamakulaNPI 1922740083
Title
Owner
Phone
(720) 229-2748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

18601 Green Valley Ranch Blvd Unit 108
Denver, CO 80249-8371

Mailing address

18905 E 66TH Ave
Denver, CO 80249-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240806001773 CO Part B Supplier - Clinic/Group Practice 6002353299 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Tax ID family
Holistic and Compassionate Care Mental Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

18601 Grn Vly Ranch Blvd
Unit 108
Denver, CO 80249
Phone (720) 229-2748

8821 E Hampden Ave
Denver, CO 80231
Phone (720) 949-3125

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1346086790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18905 E 66TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 GREEN VALLEY RANCH BLVD UNIT 108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802498371",
            "telephone_number": "720-229-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC AND COMPASSIONATE CARE MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "NAMAKULA",
        "authorized_official_first_name": "SHAMIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-229-2748"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.