NPIMap

Organization Active NPI

Mile High Psychiatry LLC

Doing business as Mile High Psychiatry

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1801490859
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MILE HIGH PSYCHIATRY LLC
Doing business as
Mile High Psychiatry
Practice address
4545 Post Oak Place Dr Ste 110
Houston, TX 77027-3105
Phone
(720) 507-4779
Fax
(720) 367-5067
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Michael K ChismNPI 1154780757
Title
Ceo
Phone
(720) 507-4779

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4545 Post Oak Place Dr Ste 110
Houston, TX 77027-3105

Mailing address

15355 E Colfax Ave Unit 111717
Aurora, CO 80042-1975
Phone (720) 507-4779

Other names 1

  • Mile High Psychiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mile High Psychiatry LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1801490859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 E COLFAX AVE UNIT 111717",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800421975",
            "telephone_number": "720-507-4779",
            "fax_number": "720-367-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 POST OAK PLACE DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273105",
            "telephone_number": "720-507-4779",
            "fax_number": "720-367-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "CHISM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-507-4779"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile High Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

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

Verify at the official NPI Registry.