Active NPI
Front Range Psychiatry
- Psychologist
- Golden, CO
National Provider Identifier
1376974121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 46585
- Legal business name
- FRONT RANGE PSYCHIATRY
- Practice address
- 1707 Cole Blvd
Suite 100
Golden, CO 80401-3220 - Phone
- (303) 716-8013
- NPI assigned
- Dec 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Keri Gottlieb
- Title
- Credentialing Manager
- Phone
- (303) 716-8013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 46585 | CO | Primary |
Addresses
Primary practice location
1707 Cole Blvd
Suite 100
Golden, CO 80401-3220
Mailing address
538 Commons Dr
Golden, CO 80401-5705
National Provider Directory
National Provider DirectoryLocations
538 Commons Dr
Golden, CO 80401
Phone (720) 638-7151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386115200000",
"number": "1376974121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 COMMONS DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 COLE BLVD",
"address_2": "SUITE 100",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804013220",
"telephone_number": "303-716-8013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONT RANGE PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-04",
"last_updated": "2013-12-04",
"status": "A",
"authorized_official_last_name": "GOTTLIEB",
"authorized_official_first_name": "KERI",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "303-716-8013",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CO",
"license": "46585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.