Marilyn K Adler, MD
Individual provider Active NPI Psychiatry Physician · Boulder, CO
NPI 1497764823 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497764823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 36047 (CO)
- Practice address
- 255 Canyon Blvd
Suite 300
Boulder, CO 80302-4979 - Phone
- (303) 449-6100
- Fax
- (303) 449-8973
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36047 | CO | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36047 | CO | Yes |
Addresses
Primary practice location
255 Canyon Blvd
Suite 300
Boulder, CO 80302-4979
Mailing address
12 Garden Ctr
Suite 210
Broomfield, CO 80020-7084
Phone (303) 466-3007
Other providers in Boulder, CO
- Reuben Addo
- Arielle Ades
- Adh Boulder PLLC
- Adio Health Chiropractic
- Aaron Sherman Adler
- Michael J Adler
- Sarah Rebeccah Adlerstein
- Advanced Alpine Dermatology Prof LLC
- Advanced Medical & Psychiatry Group PLLC
- Advanced Urology, PLLC
All providers in Boulder, CO · Psychiatry Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.