Active NPI
Mental Health Center of Boulder County
- Mental Illness Community Based Residential Treatment Facility
- Boulder, CO
National Provider Identifier
1760690648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- MENTAL HEALTH CENTER OF BOULDER COUNTY
- Practice address
- 1333 Iris Ave
Boulder, CO 80304-2226 - Phone
- (303) 443-8500
- NPI assigned
- May 21, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian Shaye Cline, BACHELORS OF ARTS
- Title
- Mental Health Worker
- Phone
- (303) 931-2617
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
1333 Iris Ave
Boulder, CO 80304-2226
Mailing address
2408 8TH St Apt 6
Boulder, CO 80304-4000
Phone (303) 931-2617
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Boulder, CO
- NPI 1285876722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760690648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 8TH ST APT 6",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044000",
"telephone_number": "303-931-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 IRIS AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042226",
"telephone_number": "303-443-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH CENTER OF BOULDER COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLINE",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "SHAYE",
"authorized_official_title_or_position": "MENTAL HEALTH WORKER",
"authorized_official_telephone_number": "303-931-2617",
"authorized_official_credential": "BACHELORS OF ARTS"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
- Radhika Menon, PT
- Mental Health Center Boulder County
- Mental Health Center Boulder County
- Mental Health Center of Boulder
- Mental Health Center of Boulder and Broomfield Counties
- Mental Health Center Serving Broomfield and Boulder Counties
- Mental Health Partners
- Stephen Richard Menyhart, RD, SNS
- Gliana Liz Mercado
- Yuliana Lisbeth Merchan Gil, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.