Active NPI
North Colorado Medical Center Behavioral Health
- Psychiatric Hospital
- Greeley, CO
National Provider Identifier
1861637829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- NORTH COLORADO MEDICAL CENTER BEHAVIORAL HEALTH
- Practice address
- 928 12TH St
Greeley, CO 80631-4024 - Phone
- (970) 336-4908
- Fax
- (970) 336-5000
- NPI assigned
- Dec 4, 2008
- Organization subpart
- Yes
- Parent organization
- NORTH COLORADO MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Polly Anne Shattuck, MSW
- Title
- Intake and Assessment Therapist
- Phone
- (970) 336-4908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
928 12TH St
Greeley, CO 80631-4024
Mailing address
16 Oak St
Windsor, CO 80550-5434
Phone (970) 460-0179
National Provider Directory
National Provider Directory- Part of
- Western Health NTWK Dba
Locations
928 12th St
Greeley, CO 80631
Phone (970) 336-4908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228348800000",
"number": "1861637829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 OAK ST",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805505434",
"telephone_number": "970-460-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 12TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806314024",
"telephone_number": "970-336-4908",
"fax_number": "970-336-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COLORADO MEDICAL CENTER BEHAVIORAL HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH COLORADO MEDICAL CENTER",
"enumeration_date": "2008-12-04",
"last_updated": "2008-12-04",
"status": "A",
"authorized_official_last_name": "SHATTUCK",
"authorized_official_first_name": "POLLY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "INTAKE AND ASSESSMENT THERAPIST",
"authorized_official_telephone_number": "970-336-4908",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center (Mountain Vista)
- North Colorado Optical of Greeley, Inc.
- North Colorado Spine Center LLC DME
- North Colorado Spine Center, LLC (North Colorado Spine & Orthopaedics)
- North Colorado Spine Center, LLC
- North Colorado Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.