NPIMap

Organization Active NPI

Mindcolor Autism LLC

  • Community/Behavioral Health Agency
  • Broomfield, CO
National Provider Identifier
1376253716
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDCOLOR AUTISM LLC
Practice address
295 Interlocken Blvd Ste 250
Broomfield, CO 80021-8040
Phone
(833) 646-3222
Fax
(833) 646-3222
NPI assigned
Nov 28, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Heng Li
Title
Co-Founder
Phone
(833) 646-3222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

295 Interlocken Blvd Ste 250
Broomfield, CO 80021-8040

Mailing address

224 W 35TH St Ste 500
New York, NY 10001-2538
Phone (833) 646-3222

National Provider Directory

National Provider Directory
Tax ID family
Mindcolor Autism LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

295 Interlocken Blvd
Ste 250
Broomfield, CO 80021

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1376253716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W 35TH ST STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012538",
            "telephone_number": "833-646-3222",
            "fax_number": "833-646-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 INTERLOCKEN BLVD STE 250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218040",
            "telephone_number": "833-646-3222",
            "fax_number": "833-646-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCOLOR AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "HENG",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "833-646-3222"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.