Individual provider Active NPI

Emily E. Bucy, M.D.

  • Psychiatry Physician
  • Boulder, CO
National Provider Identifier
1467552117
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
45334 Issued in CO
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

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2047930MedicaidOH
10772871MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000424 CO Practitioner - Psychiatry 9537138706 Reassigns benefits to 1 organization

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
Rocky Mountain Psychiatric Associates. LLCGroup PAC ID 7416327788, 2 clinicians

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

LicenseStateTypeSpecialty
45334COMDPsychiatry Physician
73729OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Psychiatric Associates, LLC Psychiatry CurrentSince Dec 12, 2022 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.

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

Verify at the official NPI Registry.