Colleen Copelan, M.D. Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G22018 Issued in CA

Legal business name

COLLEEN COPELAN, M.D. INC

Practice address

970 South Petit Ave.
Suite a
Ventura, CA 93004

Phone

(805) 659-1333

Fax

(805) 659-1408

NPI assigned

Mar 6, 2009

Organization subpart

Yes

Parent organization

COLLEEN COPELAN MDAs reported in NPPES

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

Authorized official

Name

Colleen CopelanNPI 1588768196

Title

Ceo

Phone

(805) 659-1333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Colleen Copelan, MD

  • Psychiatry Physician
  • Ventura, CA
  • NPI 1588768196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1760623599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SOUTH PETIT AVE.",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93004",
            "telephone_number": "805-659-1333",
            "fax_number": "805-659-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SOUTH PETIT AVE.",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93004",
            "telephone_number": "805-659-1333",
            "fax_number": "805-659-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN COPELAN, M.D. INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLEEN COPELAN MD",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "COPELAN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-659-1333"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G22018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Cole, M.S., M.F.T.
• Maria Teresa Cole, LCSW
• Terry L Cole, M.D.
• Bryson Sheldon Coleman
• Kent Coleman, P.H.D.
• John B Collet Jr., D.P.M.
• Michael Collier, LPT
• Natalie Bergen Collins-Smith, M,A., MFTI
• Kaylin Collins
• Mariza Mendes Collins, LVN

• Psychiatry Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.