Organization Active NPI

Medicine Park Mental Health

  • Psychiatry Physician
  • Evergreen, CO
National Provider Identifier
1780496059
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MEDICINE PARK MENTAL HEALTH
Practice address
2922 Evergreen Pkwy Ste 207
Evergreen, CO 80439-7915
Phone
(719) 257-3709
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Caroline Journeycake, MS, APN, PMHNPNPI 1720831688
Title
Owner
Phone
(720) 237-3720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2922 Evergreen Pkwy Ste 207
Evergreen, CO 80439-7915

Mailing address

30238 Carriage Loop Dr
Evergreen, CO 80439-8560
Phone (720) 237-3720

Other identifiers 1

IdentifierTypeStateIssuer
90000230024MedicaidCO

Other names 1

  • Journeycake LLC Other name

National Provider Directory

National Provider Directory

Locations

2922 Evergreen Pkwy
Ste 207
Evergreen, CO 80439
Phone (719) 257-3709

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1780496059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30238 CARRIAGE LOOP DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398560",
            "telephone_number": "720-237-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 EVERGREEN PKWY STE 207",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397915",
            "telephone_number": "719-257-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE PARK MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "JOURNEYCAKE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-237-3720",
        "authorized_official_credential": "MS, APN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90000230024",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journeycake LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.