Front Range Psychiatric Associates, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FRONT RANGE PSYCHIATRIC ASSOCIATES, P.C.

Practice address

56 Club Manor Dr
100
Pueblo, CO 81008-1679

Phone

(719) 584-4767

Fax

(719) 584-4808

NPI assigned

Nov 21, 2006

Last updated

Sep 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Dana Martin, M.D.

Title

Partner

Phone

(719) 584-4767

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jane L Boyer, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
  • NPI 1790743326
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1447325097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CLUB MANOR DR",
            "address_2": "100",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081679",
            "telephone_number": "719-584-4767",
            "fax_number": "719-584-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLUB MANOR DR",
            "address_2": "100",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081679",
            "telephone_number": "719-584-4767",
            "fax_number": "719-584-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE PSYCHIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DANA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "719-584-4767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56826338",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Ann Friedrichs, MD
• Friendly Harbor (Friendly Harbor Community Center)
• Abby Frisbie
• Front Range Clinic Inc.
• Front Range Clinic Inc.
• Front Range Urgent Care, Inc
• Front Range Urgent Care, Inc.
• Frontier Home Health, LLC
• Frontier Home Health, LLC
• Frontier Home Health, LLC

• Psychiatry Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.