Active NPI
Colter J Boita, D.O.
- Psychiatry Physician
- Bayfield, CO
National Provider Identifier
1699207571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 301226
- Practice address
- 218 Mushroom Dr
Bayfield, CO 81122-9718 - Phone
- (970) 903-1136
- NPI assigned
- Mar 30, 2017
- Last updated
- Mar 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR.0070367 | CO | |
| Psychiatry Physician | 2084P0800X | 301226 | NY | Primary |
Addresses
Primary practice location
218 Mushroom Dr
Bayfield, CO 81122-9718
Mailing address
2012 N 21St St
Grand Junction, CO 81501-6712
Phone (970) 903-1136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0070367 | CO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change Your Mind Psychiatric Services, PLLC | Psychiatry | Current | Accepting new patients |
| MMC OB-GYN Faculty Practice Plan | Past | Accepting new patients | |
| Anesthesiology Associates of Boro Park, LLP | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Bayfield, CO
- NPI 1225832199
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1518912302
-
- Specialist
- Brooklyn, NY
- NPI 1306843388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1699207571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 N 21ST ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016712",
"telephone_number": "970-903-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 MUSHROOM DR",
"city": "BAYFIELD",
"state": "CO",
"postal_code": "811229718",
"telephone_number": "970-903-1136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOITA",
"first_name": "COLTER",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0070367",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "301226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.