Interactive Brain Analysis

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3408 Issued in CO

Legal business name

INTERACTIVE BRAIN ANALYSIS

Practice address

4885 Riverbend Rd
Suite D300
Boulder, CO 80301-2617

Phone

(303) 447-8443

NPI assigned

Feb 28, 2012

Organization subpart

No

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

Authorized official

Name

Debora Joy Elliott

Title

Presdent

Phone

(303) 447-8443

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1598039190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 RIVERBEND RD",
            "address_2": "SUITE D300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012617",
            "telephone_number": "303-447-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 RIVERBEND RD",
            "address_2": "SUITE D300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012617",
            "telephone_number": "303-447-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE BRAIN ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "303-447-8443"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Rehab Consultants Colorado LLC
• Integrating Insights, Inc
• Integrative Mountain Psychiatry LLC
• Integrative Psychiatry Center of Boulder LLC
• Integrity Dental of Boulder, LTD
• Andrea Irarrazabal, D.M.D.
• Lori A. Irby, CST
• Irelan Chiropractic, P. C.
• James M. Irelan, D.C.
• Charlotte Elizabeth Irving

• Professional Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.