Organization Active NPI

Mobile Health Technology With Solutions

  • Geriatric Medicine (Family Medicine) Physician
  • Denver, CO
National Provider Identifier
1821619032
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
MOBILE HEALTH TECHNOLOGY WITH SOLUTIONS
Practice address
12150 Andrews Dr
Denver, CO 80239-4441
Phone
(720) 449-6616
Fax
(720) 792-3458
NPI assigned
Apr 28, 2020
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Mrs. Suzan Perreault
Title
Principal
Phone
(719) 214-2804

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU Primary
Primary Podiatric Medicine Podiatrist 213EP1101X NU
Geriatric Physical Therapist 2251G0304X NU
Occupational Therapist 225X00000X NU
Home Health Agency 251E00000X NU
Home Health Aide 374U00000X NU
Ambulatory Care Pharmacist 1835P2201X NU

Addresses

Primary practice location

12150 Andrews Dr
Denver, CO 80239-4441

Mailing address

545 3Rd St Unit 2621
Monument, CO 80132-4606
Phone (720) 449-6616

Other names 1

  • M-Health Technology W-Solutions Other name

National Provider Directory

National Provider Directory

Locations

545 3rd St
Unit 2621
Monument, CO 80132

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1821619032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 3RD ST UNIT 2621",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801324606",
            "telephone_number": "720-449-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANDREWS DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394441",
            "telephone_number": "720-449-6616",
            "fax_number": "720-792-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH TECHNOLOGY WITH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "PERREAULT",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "719-214-2804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M-Health Technology W-Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 23, 2021; 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.