Organization Active NPI

Baobab Psychiatric Services of Colorado, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1811733736
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BAOBAB PSYCHIATRIC SERVICES OF COLORADO, PLLC
Practice address
1905 N Sherman St Ste 2001433
Denver, CO 80203-1140
Phone
(512) 655-3104
Fax
(833) 955-3628
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Dr. Komi Kokou-Abi, DNPNPI 1558910810
Title
President
Phone
(512) 655-3104

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1905 N Sherman St Ste 2001433
Denver, CO 80203-1140

Mailing address

1905 N Sherman St Ste 2001433
Denver, CO 80203-1140
Phone (512) 655-3104

Other names 2

  • Baobab Psychiatric Services, PLLC Doing business as
  • Baobab Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

1905 N Sherman St
Ste 2001433
Denver, CO 80203
Phone (512) 655-3104

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": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1811733736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N SHERMAN ST STE 2001433",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031140",
            "telephone_number": "512-655-3104",
            "fax_number": "833-955-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N SHERMAN ST STE 2001433",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031140",
            "telephone_number": "512-655-3104",
            "fax_number": "833-955-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAOBAB PSYCHIATRIC SERVICES OF COLORADO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "KOKOU-ABI",
        "authorized_official_first_name": "KOMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-655-3104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baobab Psychiatric Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baobab Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2024; 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.