NPIMap

Organization Active NPI

Boulder Cognitive and Linguistic Center Inc

Doing business as Colorado Concussion Clinic

  • Multi-Specialty Clinic/Center
  • Boulder, CO
National Provider Identifier
1699244566
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BOULDER COGNITIVE AND LINGUISTIC CENTER INC
Doing business as
Colorado Concussion Clinic
Practice address
5723 Arapahoe Ave Ste 1B
Boulder, CO 80303-1381
Phone
(303) 932-2030
NPI assigned
Nov 20, 2018
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Sarah Brittain, SLPNPI 1780062737
Title
Owner
Phone
(303) 447-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5723 Arapahoe Ave Ste 1B
Boulder, CO 80303-1381

Mailing address

1700 E 17TH Ave Ste 102
Denver, CO 80218-1668
Phone (303) 932-2030

Other practice location 1

1700 E 17th Ave Ste 102
Denver, CO 80218-1668
Phone (303) 932-2030

Other names 1

  • Colorado Concussion Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150626001147 CO Part B Supplier - Clinic/Group Practice 5092027409 Receives reassigned benefits from 30 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wheat Ridge, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4251 Kipling St
Unit 405
Wheat Ridge, CO 80033
Phone (303) 932-2030

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1699244566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 17TH AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181668",
            "telephone_number": "303-932-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5723 ARAPAHOE AVE STE 1B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031381",
            "telephone_number": "303-932-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E 17th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181668",
            "country_code": "US",
            "telephone_number": "303-932-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOULDER COGNITIVE AND LINGUISTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-447-0022",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Concussion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.