Organization Active NPI

Mindcolor Autism LLC

  • Community/Behavioral Health Agency
  • Castle Rock, CO
National Provider Identifier
1972197267
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDCOLOR AUTISM LLC
Practice address
815 S Perry St Ste 100
Castle Rock, CO 80104-3376
Phone
(833) 646-3222
Fax
(833) 646-3222
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Heng Li
Title
Co-Founder
Phone
(833) 646-3222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

815 S Perry St Ste 100
Castle Rock, CO 80104-3376

Mailing address

142 E 16TH St Apt 12E
New York, NY 10003-3507
Phone (917) 232-3577

National Provider Directory

National Provider Directory
Tax ID family
Mindcolor Autism LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1972197267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E 16TH ST APT 12E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033507",
            "telephone_number": "917-232-3577",
            "fax_number": "833-646-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PERRY ST STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043376",
            "telephone_number": "833-646-3222",
            "fax_number": "833-646-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCOLOR AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "HENG",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "833-646-3222"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.