National Provider Identifier Database

ADVANCED PSYCHIATRIC HEALTH LLC
Family


Contact Information

ADVANCED PSYCHIATRIC HEALTH, LLC
2790 N ACADEMY BLVD
SUITE 312
COLORADO SPRINGS, CO80917-5337
Phone: 719-444-0250
Fax: 719-444-0253
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCED PSYCHIATRIC HEALTH, LLC

NPI Number 1285990937
Legal business name
LBN
ADVANCED PSYCHIATRIC HEALTH, LLC
Authorized official FREDI PROCHODA - (OWNER, PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 04/06/2012
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 6013
  • CO Medicaid: 21102384
  • CO Medicaid: 38303787
  • Other: 12080466 CAQH

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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