Individual provider Active NPI

Kevin Joseph Dobi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Longmont, CO
National Provider Identifier
1679687743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
94062 Issued in CO
Practice address
500 Coffman St
Suite 204
Longmont, CO 80501-5451
Phone
(303) 485-3457
Fax
(720) 494-7713
NPI assigned
Aug 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 94062 CO Primary

Addresses

Primary practice location

500 Coffman St
Suite 204
Longmont, CO 80501-5451

Mailing address

10678 Kipling Way
Broomfield, CO 80021-3632
Phone (303) 485-3457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306000774 CT Practitioner - Nurse Practitioner 5890796692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Psychological Services LLCGroup PAC ID 7911130216, 10 clinicians

Practice addresses (Care Compare)

59 Roxbury Rd
Stamford, CT 06902-1283
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
72.39
Improvement activities
40
Cost
72.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
94062COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Feb 15, 2019 Accepting new patients

Locations

385 Main St
Cromwell, CT 06416
Phone (860) 635-5613

4 Hazel Ave
Naugatuck, CT 06770
Phone (203) 720-3411

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679687743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10678 KIPLING WAY",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213632",
            "telephone_number": "303-485-3457",
            "fax_number": "720-494-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COFFMAN ST",
            "address_2": "SUITE 204",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015451",
            "telephone_number": "303-485-3457",
            "fax_number": "720-494-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBI",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "94062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.