MOUNTAIN CREST BEHAVIORAL HEALTH HOSPITAL (NPI# 1992177596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992177596 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN CREST BEHAVIORAL HEALTH HOSPITAL |
| Practice Address |
4601 Corbett Dr Fort Collins CO 80528-9579 |
| Practice Telephone | 9702074800 |
| Practice Fax Number | 9702074855 |
| Mailing Telephone | 9702074800 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Authorized Official Name | KAREN WENTE (PROFESSIONAL MENTAL HEALTH PROFESSI) |
| Authorized Official Telephone | 9702074820 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | POUDRE VALLEY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 00993063 | CO | Hospitals |
| Street Address |
4601 CORBETT DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-9579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063400851 | Richard R Whittlesey | Psychologist | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2005-10-06 |
| 1114543493 | Dylan Brown | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2020-06-22 |
| 1952872921 | Jonathan F Heilman | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2018-12-16 |
| 1376042457 | Corie Helms | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2018-02-05 |
| 1891234860 | Lorenza Perez Frias | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2017-02-23 |
| 1215332762 | Poudre Valley Health Care Inc. | Psychiatric Unit | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2014-10-27 |
| 1881093607 | Michelle Miranda | Nurse Practitioner | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2014-08-18 |
| 1336486760 | Elizabeth Sutphin | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2013-01-04 |
| 1043526072 | Laurie Verde | Registered Nurse | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2010-08-27 |
| 1760711857 | Jennifer Hall | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2009-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851726079 | Cherish Stephens | Psychiatric Hospital | 3763 S Quintero St, Aurora, CO 80013-3075 | 2013-09-06 |
| 1700147048 | Steven W. Harvey | Psychiatric Hospital | 3753 S Granby Way, Aurora, CO 80014-4076 | 2012-06-04 |
| 1659524486 | Sbh Colorado LLC | Psychiatric Hospital | 7353 Sisters Grove, Colorado Springs, CO 80923-2615 | 2008-10-24 |
| 1124165923 | Edc of Denver, LLC | Psychiatric Hospital | 4100 E Mississippi Ave Ste 1300, Denver, CO 80246 | 2007-01-31 |
| 1326133216 | Uhs of Denver, Inc. | Psychiatric Hospital | 8565 S. Poplar Way, Littleton, CO 80130 | 2006-10-04 |
| 1891896999 | Colorado Department of Human Services | Psychiatric Hospital | 1575 Sherman St, Denver, CO 80203-1702 | 2006-09-25 |
| 1598782542 | Ronit Rosen | Psychiatric Hospital | 7460 E Bayaud Ave, Denver, CO 80230-6736 | 2006-07-16 |
| 1225671928 | Denver Springs, LLC | Psychiatric Hospital | 16830 Northgate Dr Unit 130, Parker, CO 80134-5778 | 2019-10-25 |
| 1720430937 | Denver Springs, LLC | Psychiatric Hospital | 8835 American Way, Englewood, CO 80112-7056 | 2016-07-12 |
| 1295183556 | Medical Center of Aurora | Psychiatric Hospital | 1501 S Potomac St, Aurora, CO 80012-5411 | 2016-05-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
Please comment or provide details below to improve the information on MOUNTAIN CREST BEHAVIORAL HEALTH HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.