Organization Active NPI

The Foundation Behavioral Services

  • Adolescent and Children Mental Health Clinic/Center
  • Longmont, CO
National Provider Identifier
1629310362
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
THE FOUNDATION BEHAVIORAL SERVICES
Practice address
2 James Cir
Longmont, CO 80501-6805
Phone
(303) 523-7573
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Valerie Hittle, MNM
Title
Executive Director
Phone
(303) 523-7573

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

2 James Cir
Longmont, CO 80501-6805

Mailing address

2 James Cir
Longmont, CO 80501-6805
Phone (303) 523-7573

Other identifiers 1

IdentifierTypeStateIssuer
49435272MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.foundationbehavior.com

National Provider Directory

National Provider Directory
Tax ID family
The Foundation Behavioral 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.

Locations

5777 E Evans Ave
Ste 201
Denver, CO 80222

10090 Garrison St
Ste 105
Westminster, CO 80021

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1629310362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JAMES CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016805",
            "telephone_number": "303-523-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JAMES CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016805",
            "telephone_number": "303-523-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOUNDATION BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "HITTLE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-523-7573",
        "authorized_official_credential": "MNM"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49435272",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.foundationbehavior.com",
            "affiliation": "N",
            "address_1": "2 James Cir",
            "city": "Longmont",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805016805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.