Active NPI
Attilio Bruce Catanzano, MD
- Psychiatry Physician
- Boulder, CO
National Provider Identifier
1518139591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 21511
- Practice address
- 255 Canyon Blvd
Boulder, CO 80302-4979 - Phone
- (303) 449-7541
- Fax
- (303) 449-8973
- NPI assigned
- Mar 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21511 | CO | Primary |
Addresses
Primary practice location
255 Canyon Blvd
Boulder, CO 80302-4979
Mailing address
PO Box 151029
Lakewood, CO 80215-9029
Phone (303) 986-9504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04141040 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21511 | CO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Foundation for Human Development PC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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 1053580605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1518139591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151029",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802159029",
"telephone_number": "303-986-9504",
"fax_number": "303-980-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 CANYON BLVD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024979",
"telephone_number": "303-449-7541",
"fax_number": "303-449-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATANZANO",
"first_name": "ATTILIO",
"middle_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-30",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "21511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04141040",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
- Rafael Eduardo Castillo
- James Castle
- Erik M Castro, MSW, MPH, SWC
- Peter Laurence Castro, M.D.
- Alexa Michelle Cataldo
- Jennifer Cates, PHD, LMFT, LPC
- Catholic Charities and Community Services of the Archdiocese of Denver (St. Raphael Counseling)
- Cathy J Cohn, PHD, LLC
- Anne Marie Cattarello, L.P.C.
- Michael Cavaleri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.