Active NPI
Mountain Crest Behavioral Health Hospital
- Psychiatric Hospital
- Fort Collins, CO
National Provider Identifier
1992177596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 00993063
- Legal business name
- MOUNTAIN CREST BEHAVIORAL HEALTH HOSPITAL
- Practice address
- 4601 Corbett Dr
Fort Collins, CO 80528-9579 - Phone
- (970) 207-4800
- Fax
- (970) 207-4855
- NPI assigned
- Oct 22, 2015
- Organization subpart
- Yes
- Parent organization
- POUDRE VALLEY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Wente, LCSW
- Title
- Professional Mental Health Professi
- Phone
- (970) 207-4820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 00993063 | CO | Primary |
Addresses
Primary practice location
4601 Corbett Dr
Fort Collins, CO 80528-9579
Mailing address
4601 Corbett Dr
Fort Collins, CO 80528-9579
Phone (970) 207-4800
National Provider Directory
National Provider Directory- Part of
- Fort Collins Fiamily Me
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445472000000",
"number": "1992177596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 CORBETT DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805289579",
"telephone_number": "970-207-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 CORBETT DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805289579",
"telephone_number": "970-207-4800",
"fax_number": "970-207-4855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN CREST BEHAVIORAL HEALTH HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "POUDRE VALLEY HOSPITAL",
"enumeration_date": "2015-10-22",
"last_updated": "2015-10-22",
"status": "A",
"authorized_official_last_name": "WENTE",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "PROFESSIONAL MENTAL HEALTH PROFESSI",
"authorized_official_telephone_number": "970-207-4820",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "CO",
"license": "00993063",
"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 Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.