ADVANCED PSYCHIATRIC HEALTH, LLC; NPI #1285990937

Contact Information

ADVANCED PSYCHIATRIC HEALTH, LLC

2790 N ACADEMY BLVD
SUITE 312
COLORADO SPRINGS, CO 80917-5337

Phone: 719-444-0250
Fax: 719-444-0253
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ADVANCED PSYCHIATRIC HEALTH, LLC

NPI # 1285990937

LBN Legal business name ADVANCED PSYCHIATRIC HEALTH, LLC

Authorized official FREDI PROCHODA - (OWNER, PROVIDER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/06/2012

Last updated 03/07/2023 - About 3 years ago

Identifiers

CO	License #	6013
CO	Medicaid	21102384
CO	Medicaid	38303787
	Other	12080466	CAQH

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ADVANCED PSYCHIATRIC HEALTH, LLC

Contact Information

Specialty

Family

NPI Profile & details for ADVANCED PSYCHIATRIC HEALTH, LLC

Reviews for ADVANCED PSYCHIATRIC HEALTH, LLC