Mental Health Center Boulder County

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC 2976 Issued in CO

Legal business name

MENTAL HEALTH CENTER BOULDER COUNTY

Practice address

1333 Iris Ave
Boulder, CO 80304-2226

Phone

(303) 413-6282

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sandy Levy, MA

Title

MHW VI

Phone

(303) 413-6282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912058504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 S LARK AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279581",
            "telephone_number": "202-604-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 IRIS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042226",
            "telephone_number": "303-413-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH CENTER BOULDER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "MHW VI",
        "authorized_official_telephone_number": "303-413-6282",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "LPC 2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Mendes, M.D.
• Consuelo Elizabeth Mendez-Shannon, PH.D, LMSW
• Mark David Menich, MD
• Radhika Menon, PT
• Mental Health Center Boulder County
• Mental Health Center of Boulder
• Mental Health Center of Boulder and Broomfield Counties
• Mental Health Center of Boulder County
• Mental Health Center Serving Broomfield and Boulder Counties
• Mental Health Partners

• Community/Behavioral Health Agency in Boulder, CO
• Providers in Boulder, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.