| Mind Over Matter Psychotherapeutics,pllc | |
|
Mind Over Matter Psychotherapeutics,pllc 608 E Harmony Rd # 302 Fort Collins CO 80525 | |
| (307) 200-7383 | |
| Not Available |
| Full Name | Mind Over Matter Psychotherapeutics,pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | Mind Over Matter Psychotherapeutics,pllc, Fort Collins, Colorado |
| Authorized Official Name and Position | Nauman Hanif Taj (PSYCHIATRIST) |
| Authorized Official Contact | 9706162666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Over Matter Psychotherapeutics,pllc Mind Over Matter Psychotherapeutics,pllc 608 E Harmony Rd # 302 Fort Collins CO 80525 Ph: (307) 200-7383 | Mind Over Matter Psychotherapeutics,pllc Mind Over Matter Psychotherapeutics,pllc 608 E Harmony Rd # 302 Fort Collins CO 80525 Ph: (307) 200-7383 |
| NPI Number | 1154086619 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 7012307358 |
|---|---|
| Medicare Enrollment ID | O20211203000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154086619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lanny Douglas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427159664 PECOS PAC ID: 9032267711 Enrollment ID: I20161208001820 |
| Provider Name | Nauman Hanif Taj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942516539 PECOS PAC ID: 1052633989 Enrollment ID: I20190103001214 |
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