Organization Active NPI

Optum Behavioral Care of Colorado, P.C.

  • Psychiatry Physician
  • Flagstaff, AZ
National Provider Identifier
1891656567
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Practice address
930 N Switzer Canyon Dr Ste 104
Flagstaff, AZ 86001-4834
Phone
(480) 903-5550
NPI assigned
Nov 20, 2025
Organization subpart
Yes
Parent organization
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Amanda Stacey Bronson
Title
Dir Gen MGMT
Phone
(978) 222-3121

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

930 N Switzer Canyon Dr Ste 104
Flagstaff, AZ 86001-4834

Mailing address

2450 S White Mountain Rd Ste 3
Show Low, AZ 85901-7384
Phone (480) 903-5550

Other names 1

  • Elevate Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optum Behavioral of Co PC33 organizations share this tax ID, including this one
Part of
Optum Behavioral of Co PC

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1891656567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S WHITE MOUNTAIN RD STE 3",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017384",
            "telephone_number": "480-903-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N SWITZER CANYON DR STE 104",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014834",
            "telephone_number": "480-903-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF COLORADO, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTUM BEHAVIORAL CARE OF COLORADO, P.C.",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "STACEY",
        "authorized_official_title_or_position": "DIR GEN MGMT",
        "authorized_official_telephone_number": "978-222-3121"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.