Organization Active NPI

Rocky Mountain Medical Psychiatry

  • Psychiatry Physician
  • Fort Collins, CO
National Provider Identifier
1982874665
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR18448 Issued in CO
Legal business name
ROCKY MOUNTAIN MEDICAL PSYCHIATRY
Practice address
2038 Caribou Dr
Suite 201
Fort Collins, CO 80525-4338
Phone
(970) 494-0804
Fax
(970) 377-8766
NPI assigned
Mar 10, 2008
Last updated
Nov 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Dr. Clifford Lorin Zeller, M.D.
Title
Owner
Phone
(970) 494-0804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X DR18448 CO Primary

Addresses

Primary practice location

2038 Caribou Dr
Suite 201
Fort Collins, CO 80525-4338

Mailing address

2038 Caribou Dive
Suite 201
Fort Collins, CO 80525-4326
Phone (970) 494-0804

National Provider Directory

National Provider Directory

Locations

2038 Caribou Dr
Unit 201
Fort Collins, CO 80525
Phone (970) 494-0804

5340 S Quebec St
Ste 320S
Greenwood Village, CO 80111
Phone (720) 381-0015

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1982874665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 CARIBOU DIVE",
            "address_2": "SUITE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254326",
            "telephone_number": "970-494-0804",
            "fax_number": "970-377-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 CARIBOU DR",
            "address_2": "SUITE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254338",
            "telephone_number": "970-494-0804",
            "fax_number": "970-377-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN MEDICAL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "ZELLER",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "LORIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-494-0804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR18448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.