Edward Mockus PHD PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EDWARD MOCKUS PHD PLLC

Doing business as

Boulder Center for Family and Behavioral Health

Practice address

5277 Manhattan Cir Ste 102
Boulder, CO 80303-8200

Phone

(720) 526-0579

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Mockus, PHDNPI 1902213655

Title

Owner

Phone

(720) 526-0579

Specialties & licenses 1

Addresses

Other names 1

• Boulder Center for Family and Behavioral Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Phillip Mockus, PHD

  • Psychologist
  • Boulder, CO
  • NPI 1902213655
  NPD Authorized official

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1871188458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 MANHATTAN CIR STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038200",
            "telephone_number": "720-526-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 MANHATTAN CIR STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038200",
            "telephone_number": "720-526-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD MOCKUS PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "MOCKUS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-526-0579",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder Center for Family and Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edh Support Company
• Monica Edlauer, MSOM, LAC
• Blake Edmond
• Lisa A Edmonds, OT
• Edward E Barrett DDS
• Edwards Medical Provider Group (Edwards Medical Provider Group Boulder)
• Elizabeth Claire Edwards, OT
• Rachel Marie Edwards, PA-C
• Scarlett Edwards
• Sean Edwards

• Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.