Organization Active NPI

Compassionate Behavioral Medicine Clinic, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1386305548
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COMPASSIONATE BEHAVIORAL MEDICINE CLINIC, LLC
Doing business as
CBMC
Practice address
2000 S Colorado Blvd BLDG 1-2000
Denver, CO 80222-7910
Phone
(720) 776-2916
Fax
(720) 815-0354
NPI assigned
Jan 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Angela Dawkins, ARNPNPI 1538508643
Title
Member/Provider
Phone
(334) 954-1340

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2000 S Colorado Blvd BLDG 1-2000
Denver, CO 80222-7910

Mailing address

2932 Ross Clark Circle Unit 330
Dothan, AL 36301
Phone (334) 954-1340

Other practice location 1

2932 Ross Clark Circle Unit 330
Dothan, AL 36301
Phone (334) 954-1340

Other names 1

  • CBMC Doing business as

National Provider Directory

National Provider Directory

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": "1641686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1386305548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 ROSS CLARK CIRCLE UNIT 330",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-954-1340",
            "fax_number": "334-851-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S COLORADO BLVD BLDG 1-2000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227910",
            "telephone_number": "720-776-2916",
            "fax_number": "720-815-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2932 Ross Clark Circle Unit 330",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "36301",
            "country_code": "US",
            "telephone_number": "334-954-1340",
            "fax_number": "334-851-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASSIONATE BEHAVIORAL MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-09",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MEMBER/PROVIDER",
        "authorized_official_telephone_number": "334-954-1340",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 26, 2023; 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.