Active NPI
Emily E. Bucy, M.D.
- Psychiatry Physician
- Boulder, CO
National Provider Identifier
1467552117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 45334
- Practice address
- 311 Mapleton Ave
Boulder, CO 80304-3979 - Phone
- (303) 441-0560
- Fax
- (303) 441-2202
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 73729 | OH | |
| Psychiatry Physician | 2084P0800X | 45334 | CO | Primary |
Addresses
Primary practice location
311 Mapleton Ave
Boulder, CO 80304-3979
Mailing address
311 Mapleton Ave
Boulder, CO 80304-3979
Phone (303) 441-0560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047930 | Medicaid | OH | |
| 10772871 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Cincinnati College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
75 Manhattan Dr
Suite 204
Boulder, CO 80303-4252
Phone (303) 569-8858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45334 | CO | MD | Psychiatry Physician |
| 73729 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Psychiatric Associates, LLC | Psychiatry | Current | Accepting new patients |
| Greater Cincinnati Behavioral Health Services | Past | Accepting new patients | |
| Highlife Recovery, LLC | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients | |
| Greater Cincinnati Behavioral Health Services | Past | Accepting new patients |
Locations
75 Manhattan Dr
Ste 204
Boulder, CO 80303
Phone (303) 569-8858
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Boulder, CO
- NPI 1023726825
-
- Adult Mental Health Clinic/Center
- Boulder, CO
- NPI 1568121622
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walnut Hills, OH
- NPI 1588626097
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1871486183
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1114472289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1467552117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MAPLETON AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043979",
"telephone_number": "303-441-0560",
"fax_number": "303-441-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MAPLETON AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043979",
"telephone_number": "303-441-0560",
"fax_number": "303-441-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCY",
"first_name": "EMILY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "73729",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "45334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2047930",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10772871",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.