Northern Colorado Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NORTHERN COLORADO PSYCHIATRY LLC

Practice address

4786 McMurry Ave Unit 2B
Fort Collins, CO 80525-4499

Phone

(614) 439-0053

NPI assigned

Mar 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jason Robert Collison, MDNPI 1518145143

Title

Member/Manager

Phone

(614) 439-0053

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Robert Collison, M.D.

  • Psychiatry Physician
  • Fort Collins, CO
  • NPI 1518145143
  NPD Authorized official

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1942835897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271215",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805271215",
            "telephone_number": "614-439-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4786 MCMURRY AVE UNIT 2B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254499",
            "telephone_number": "614-439-0053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 Larimer Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805348912",
            "country_code": "US",
            "telephone_number": "970-461-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN COLORADO PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "COLLISON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "614-439-0053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.