NPIMap

Organization Active NPI

Grand Rver Psychiatry

  • Adult Mental Health Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1871047746
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
99868 Issued in CO
Legal business name
GRAND RVER PSYCHIATRY
Practice address
743 Horizon CT
Grand Junction, CO 81506-8701
Phone
(970) 254-8600
Fax
(970) 254-8603
NPI assigned
Aug 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Ms. Kim Mohr, CNS
Title
Owner
Phone
(970) 254-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 99868 CO Primary

Addresses

Primary practice location

743 Horizon CT
Grand Junction, CO 81506-8701

Mailing address

743 Horizon CT
Grand Junction, CO 81506-8701
Phone (970) 254-8600

Other identifiers 1

IdentifierTypeStateIssuer
71576053MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1871047746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068701",
            "telephone_number": "970-254-8600",
            "fax_number": "970-254-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068701",
            "telephone_number": "970-254-8600",
            "fax_number": "970-254-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RVER PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-254-8600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "99868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71576053",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.