Mesa Behavioral Medicine Clinic, P. C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

28579 Issued in CO

Legal business name

MESA BEHAVIORAL MEDICINE CLINIC, P. C.

Practice address

1400 N 7TH St
Grand Junction, CO 81501-3004

Phone

(970) 241-1983

Fax

(970) 242-6135

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Sammons, M.D., PH.D.

Title

Doctor

Phone

(970) 241-1983

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Diana Louise Walters, R.N.,ED.D.,M.P.H.

  • Marriage & Family Therapist
  • Grand Junction, CO
  • NPI 1841334588
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952444911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N 7TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013004",
            "telephone_number": "970-241-1983",
            "fax_number": "970-242-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N 7TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013004",
            "telephone_number": "970-241-1983",
            "fax_number": "970-242-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA BEHAVIORAL MEDICINE CLINIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "970-241-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "28579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Meraz, LMT
• William Doyle Merkel, MD
• James Allyn Merrell, MD
• Glenn Clinton Merritt
• Kevin Merry, MLS(ASCP)
• Mesa County Dept of Human Services
• Mesa County Government
• Mesa County Health Department
• Mesa County Health Department
• Mesa County Health Department

• Specialist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Specialist 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.