Cirque Meadow Psychiatry, NPI 1578184230
Psychiatric/Mental Health Nurse Practitioner in Fort Collins, CO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1578184230
NPI Entity Type Organization
Provider Name Cirque Meadow Psychiatry
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address Cirque Meadow Psychiatry, 211 West Myrte Street, Suite 207, Fort Collins, CO, US
Provider Mailing Address 415 S Washington Ave, Fort Collins, CO, US, 805212571
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name APRN Virginia Mack
Official Position OWNER
Phone 360-621-1409

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

363LP0808X

Taxonomy Name Psychiatric/Mental Health Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

Description Definition to come...

Other Organization Name

Cirque Meadow Psychiatry Virginia Caryl Mack Sole MBR
Other Name

Business Address

Cirque Meadow Psychiatry
Cirque Meadow Psychiatry
211 West Myrte Street, Suite 207

Fort Collins, CO, US

Phone: 360-621-1409
Fax: 848-213-0217

Mailing Address

Cirque Meadow Psychiatry
415 S Washington Ave
Fort Collins, CO, US
ZIP 805212571
Phone: 360-621-1409
Fax: 848-213-0217

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

364SP0807X

Physician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist

No

Other Providers in CO, US

NPI Name Taxonomy Address

1851027189

DR. PHARMD Kyra Navia

Individual

Pharmacist

5071 Kipling St

Wheat Ridge, CO

1871254383

Laura M Aversano, Dds, Pllc

Organization

Dental Clinic/Center

941 S Havana St

200

Aurora, CO

1598833139

DR. DDS Laura Marie Martinez Aversano

Individual

Dentist

941 S Havana St Ste 200

Aurora, CO

1871720409

PA-C Colleen Katherine Wuellner

Individual

Physician Assistant

6169 S. Balsam Way

Ste #220

Littleton, CO

1760116313

Laura K Graf

Individual

Professional Counselor

2472 Patterson Rd Unit 16

Grand Junction, CO

1245874189

LMT Elizabeth Anne Velasquez

Individual

Massage Therapist

5944 S Kipling Pkwy Ste 202

Littleton, CO

1700176708

M.D. Kaylin A Klie

Individual

Addiction Medicine (Family Medicine) Physician

1693 Quentin St

Aurora, CO

1437410776

LPC Anita Caronna

Individual

Professional Counselor

1693 Quentin St

Aurora, CO

1841824075

Ryanne Hill

Individual

Registered Dietitian

2090 Blue Mountain Rd

Longmont, CO

1124042650

PT Lennea Zink

Individual

Physical Therapist

2964 Ginnala Dr

Loveland, CO

1598388688

PA-C Janina Korba

Individual

Physician Assistant

4743 Arapahoe Ave Ste 100

Boulder, CO

1104541473

Jessica Kodi Kuykendall

Individual

Massage Therapist

6175 Habitat Dr Apt 1059

Boulder, CO

1669197034

NONE Margot Rossini Nicholls

Individual

Behavior Technician

4770 Baseline Rd Ste 200

Boulder, CO

1801510524

PHD Stephanie Spies-upton

Individual

Clinical Psychologist

7730 N Union Blvd Ste 105

Colorado Springs, CO

1720095912

DR. M.D. Howard A Layman

Individual

Psychiatry Physician

1217 Riverside Ave

Fort Collins, CO

1659867695

PA Luke Bublitz

Individual

Surgical Physician Assistant

175 Inverness Dr W

Englewood, CO

1992218051

Parker Personal Care Homes, Inc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

357 Mccaslin Blvd

Louisville, CO

1386239648

DR. DC Jacob Burchell

Individual

Chiropractor

11880 Upham St Unit F

Broomfield, CO

1104358340

Zachary Gittings

Individual

Clinical Social Worker

4856 Innovation Dr Ste B

Fort Collins, CO

1043334949

DR. DMD Dror J Papir

Individual

Orthodontics and Dentofacial Orthopedic Dentist

1835 S Federal Blvd

Denver, CO

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