NPIMap

Organization Active NPI

Pathlight Neuropsychiatric Center LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Denver, CO
National Provider Identifier
1629647367
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Practice address
8190 E 1St Ave Ste 100
Denver, CO 80230-7211
Phone
(877) 825-8584
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Marina Shepel
Title
Contracting & Credentialing Manager
Phone
(425) 214-9321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

8190 E 1St Ave Ste 100
Denver, CO 80230-7211

Mailing address

7351 E Lowry Blvd Ste 200
Denver, CO 80230-6083

Other practice location 1

7351 E Lowry Blvd Ste 200
Denver, CO 80230-6083
Phone (877) 825-8584

National Provider Directory

National Provider Directory
Tax ID family
Pathlight Neuropsychiatric Center LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

8101 E Lowry Blvd
Ste 110B
Denver, CO 80230

8190 E 1st Ave
Ste 100
Denver, CO 80230
Phone (720) 859-8222

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1629647367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 E LOWRY BLVD STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 E 1ST AVE STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307211",
            "telephone_number": "877-825-8584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7351 E Lowry Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802306083",
            "country_code": "US",
            "telephone_number": "877-825-8584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHLIGHT NEUROPSYCHIATRIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "SHEPEL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CONTRACTING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "425-214-9321"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.