Blossom Psychiatric Services

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BLOSSOM PSYCHIATRIC SERVICES

Practice address

9233 Park Meadows Dr # 215
Lone Tree, CO 80124-5697

Phone

(970) 549-6875

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Paul GarratyNPI 1922362201

Title

Owner

Phone

(970) 640-7643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Blossom Psychiatric Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blossom Psychiatric Services

  • Multi-Specialty Clinic/Center
  • Castle Rock, CO
  • NPI 1841061041
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul G Garraty, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lone Tree, CO
  • NPI 1922362201

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1609524149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 FRONT ST UNIT B-158",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047902",
            "telephone_number": "970-549-6875",
            "fax_number": "970-549-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 PARK MEADOWS DR # 215",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245697",
            "telephone_number": "970-549-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "GARRATY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-640-7643"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Blatchford, R.PSG.T , CRT
• Ellen R Blatt, M.D.
• Christopher K. Blicharski, M.D.
• Geoffrey Allan Block, MD
• Rebecca Jean Blomquist
• Blue Mesa Dentistry at the Crest
• Bluffs Medical Wellness Prof LLC
• Laura Marie Bohlander, LAURA BOHLANDER
• Ashley Lynn Bohn, PHARM.D.,BCPS
• Brittany Claire Boles, RN

• Multi-Specialty Clinic/Center in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.