Organization Active NPI

Front Range Psychiatry

  • Psychologist
  • Golden, CO
National Provider Identifier
1376974121
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
46585 Issued in CO
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

Updated by the provider on Dec 4, 2013

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.