| Integrative Mountain Psychiatry Llc | |
|
#1070 1601 29th St. Suite 1292 Boulder CO 80301-1009 | |
| (720) 827-6801 | |
| Not Available |
| Full Name | Integrative Mountain Psychiatry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | #1070 1601 29th St., Boulder, Colorado |
| Authorized Official Name and Position | Amy D Diamond (OWNER AND OPERATOR) |
| Authorized Official Contact | 7208276801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Mountain Psychiatry Llc #1070 1601 29th St. Suite 1292 Boulder CO 80301 Ph: (720) 364-8615 | Integrative Mountain Psychiatry Llc #1070 1601 29th St. Suite 1292 Boulder CO 80301-1009 Ph: (720) 827-6801 |
| NPI Number | 1871352518 |
|---|---|
| Provider Enumeration Date | 03/15/2024 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 7719429208 |
|---|---|
| Medicare Enrollment ID | O20240612002047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871352518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amy Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144696899 PECOS PAC ID: 3274902192 Enrollment ID: I20221215000057 |
Ben Cohen, Ph.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1634 Walnut St, Suite 221, Boulder, CO 80302 Phone: 303-717-5651 | |
Lookout Managment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6901 Lookout Rd, Boulder, CO 80301 Phone: 303-443-7695 | |
Eileen Purdy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1200 28th St Street, Boulder, CO 80303 Phone: 503-320-0334 | |
Into The Grey Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4845 Pearl East Cir Ste 118, Pmb 68698, Boulder, CO 80301 Phone: 720-365-4497 | |
Center For Valued Living Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2955 Valmont Rd Ste 230, Boulder, CO 80301 Phone: 720-347-8559 | |
Liz Maher, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6680 Gunpark Dr, Boulder, CO 80301 Phone: 415-513-9016 | |
Jla Medical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Canyon Blvd, Suite 300, Boulder, CO 80302 Phone: 303-449-7541 |