NPIMap

Organization Active NPI

Psyche PC

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1801325931
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHE PC
Practice address
1120 N Lincoln St Ste 1601
Denver, CO 80203-2141
Phone
(720) 432-9865
Fax
(720) 528-8042
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeffrey Richmond, MDNPI 1831414507
Title
Owner
Phone
(720) 432-9865

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: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1120 N Lincoln St Ste 1601
Denver, CO 80203-2141

Mailing address

1120 N Lincoln St Ste 1601
Denver, CO 80203-2141
Phone (720) 432-9865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170710001187 CO Part B Supplier - Clinic/Group Practice 3971872888 Receives reassigned benefits from 11 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

1120 N Lincoln St
Ste 1601
Denver, CO 80203
Phone (720) 432-9865

Practitioners & affiliated clinicians

Practitioners 11

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": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801325931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N LINCOLN ST STE 1601",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032141",
            "telephone_number": "720-432-9865",
            "fax_number": "720-528-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N LINCOLN ST STE 1601",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032141",
            "telephone_number": "720-432-9865",
            "fax_number": "720-528-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-432-9865",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.