| Flatirons Psychiatry | |
|
954 North St Unit 204 Boulder CO 80304-3417 | |
| (720) 928-0525 | |
| Not Available |
| Full Name | Flatirons Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 954 North St Unit 204, Boulder, Colorado |
| Authorized Official Name and Position | Joshua Raufman (PROVIDER) |
| Authorized Official Contact | 9176173343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flatirons Psychiatry 954 North St Unit 204 Boulder CO 80304-3417 Ph: (720) 928-0525 | Flatirons Psychiatry 954 North St Unit 204 Boulder CO 80304-3417 Ph: (720) 928-0525 |
| NPI Number | 1992338164 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Medicare PECOS PAC ID | 9638593874 |
|---|---|
| Medicare Enrollment ID | O20200721004451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992338164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joshua Raufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700158375 PECOS PAC ID: 6608032354 Enrollment ID: I20150824000761 |
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