Behavioral Health Center of Excellence, LLC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

81050 Issued in CO

Legal business name

BEHAVIORAL HEALTH CENTER OF EXCELLENCE, LLC

Practice address

2212 W Colorado Ave
Colorado Springs, CO 80904-3325

Phone

(719) 226-0659

Fax

(719) 226-0753

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Evelyn D Baleria, APRN, BC, CNS, RXNNPI 1013213719

Title

Owner

Phone

(719) 226-0659

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Evelyn D Baleria, APRN, CNS, RXN

  • Psychiatric/Mental Health Registered Nurse
  • Colorado Springs, CO
  • NPI 1013213719
  NPD (past) Authorized official
• Sheryl L Greenlee, LPC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1134351307
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1811077753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043325",
            "telephone_number": "719-226-0659",
            "fax_number": "719-226-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043325",
            "telephone_number": "719-226-0659",
            "fax_number": "719-226-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH CENTER OF EXCELLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "BALERIA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-226-0659",
        "authorized_official_credential": "APRN, BC, CNS, RXN"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CO",
            "license": "81050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.