Individual provider Active NPI

Rebecca Caroline Kass, MD

  • Psychiatry Physician
  • Boulder, CO
National Provider Identifier
1528696333
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0073084 Issued in CO
Practice address
2501 Walnut St Ste 204
Boulder, CO 80302-5753
Phone
(303) 481-2366
NPI assigned
Mar 28, 2020
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 DR.0073084 CO Primary
Psychiatry Physician 2084P0800X MD2024-0130 NM

Addresses

Primary practice location

2501 Walnut St Ste 204
Boulder, CO 80302-5753

Mailing address

2501 Walnut St Ste 204
Boulder, CO 80302-5753
Phone (303) 481-2366

Other practice location 1

707 Simpson Dr
Lafayette, CO 80026-1053
Phone (727) 742-4844

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
I20240920003599 CO Practitioner - Psychiatry 4082057401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Center for TMS LLCGroup PAC ID 3678014362, 5 clinicians

Practice addresses (Care Compare)

2501 Walnut St
Suite 207
Boulder, CO 80302-5753
Phone (303) 449-0318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0073084COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delos Psychiatry Psychiatry CurrentSince Feb 9, 2025 Accepting new patients
Boulder Center for TMS LLC Psychiatry CurrentSince Sep 1, 2024 Accepting new patients

Locations

2501 Walnut St
Ste 204
Boulder, CO 80302
Phone (303) 444-7228

2501 Walnut St
Ste 207
Boulder, CO 80302
Phone (303) 449-0318

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1528696333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST STE 204",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025753",
            "telephone_number": "303-481-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST STE 204",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025753",
            "telephone_number": "303-481-2366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Simpson Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800261053",
            "country_code": "US",
            "telephone_number": "727-742-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASS",
        "first_name": "REBECCA",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0073084",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2024-0130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.