Individual provider Active NPI

Patricia L Payne, M.D.

  • Child & Adolescent Psychiatry Physician
  • Sterling, CO
National Provider Identifier
1497720890
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
DR.0037175 Issued in CO
Practice address
211 W Main St
Sterling, CO 80751-3168
Phone
(970) 522-4549
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 9

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050404000335 CO Practitioner - Psychiatry 8729049861 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37175COMDSpecialist
DR.0037175COMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Colorado Medical Psychiatry, LLC Specialist Past Accepting new patients

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DR.0037175 CO
Child & Adolescent Psychiatry Physician 2084P0804X DR.0037175 CO Primary
Specialist 174400000X 37175 CO

Addresses

NPPES NPI Registry

Primary practice location

211 W Main St
Sterling, CO 80751-3168

Mailing address

2255 S 88TH St
Louisville, CO 80027-9716
Phone (303) 666-2095

Other practice location 1

2255 S 88th St
Louisville, CO 80027-9716
Phone (303) 666-2095

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2024.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1497720890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279716",
            "telephone_number": "303-666-2095",
            "fax_number": "303-666-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513168",
            "telephone_number": "970-522-4549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 S 88th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279716",
            "country_code": "US",
            "telephone_number": "303-666-2095",
            "fax_number": "303-666-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0037175",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "DR.0037175",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "37175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

Verify at the official NPI Registry.