BOULDER CENTER FOR TMS (NPI# 1992236319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992236319 |
| Entity Type | Organization |
| Organization Name | BOULDER CENTER FOR TMS |
| Practice Address |
2501 Walnut St Suite 207 Boulder CO 80302-5751 |
| Practice Telephone | 3034490318 |
| Practice Fax Number | 3034421125 |
| Mailing Telephone | 3034490318 |
| Mailing Fax Number | 3034421125 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | DR. RICHARD LEE SUDDATH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3034447228 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25131 | CO | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25705 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
2501 WALNUT ST SUITE 207 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568417327 | Arlene Hegg | Specialist | 2501 Walnut St, Suite #203, Boulder, CO 80302-5751 | 2006-05-23 |
| 1437582749 | Melanie K Young, Psyd, Inc | Psychologist | 2501 Walnut St, Suite 208, Boulder, CO 80302-5751 | 2013-08-10 |
| 1699098194 | Foothills Psychological Group | Psychologist | 2501 Walnut St, Ste 202, Boulder, CO 80302-5751 | 2010-03-11 |
| 1104069335 | Kristin Brousseau, Do, PC | Psychiatry & Neurology | 2501 Walnut St, Suite 108, Boulder, CO 80302-5751 | 2009-04-17 |
| 1023262532 | Jama Ellen Briscoe, Ph.d., Pllc | Clinic/Center | 2501 Walnut St, Suite 210, Boulder, CO 80302-5751 | 2008-11-11 |
| 1508028259 | Kytja K.s. Voeller | Pediatrics | 2501 Walnut St, Suite 102, Boulder, CO 80302-5751 | 2008-06-25 |
| 1972708303 | Jill Mcnaul | Psychiatry & Neurology | 2501 Walnut St, Suite 201, Boulder, CO 80302-5751 | 2007-06-16 |
| 1306963277 | Melanie Keiry Young | Psychologist | 2501 Walnut St, Suite 208, Boulder, CO 80302-5751 | 2007-03-23 |
| 1801943477 | Earle Shugerman | Psychiatry & Neurology | 2501 Walnut St, Suite 206, Boulder, CO 80302-5751 | 2007-01-04 |
| 1083795686 | Gregory W Gerritsen | Psychologist | 2501 Walnut St, Suite 202, Boulder, CO 80302-5751 | 2006-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285029421 | Sabrina Renteria | Psychiatry & Neurology | 1641 Yarmouth Ave, Boulder, CO 80304 | 2015-04-04 |
| 1154755379 | Geoffrey B Heron, M.d., P.C. | Psychiatry & Neurology | 2500 - 30th Street, Suite 302, Boulder, CO 80301-1239 | 2013-08-23 |
| 1104195817 | David Rosenthal | Psychiatry & Neurology | 880 Union Ave, Boulder, CO 80304-0709 | 2011-12-26 |
| 1578883518 | Gerald Marvin Dank | Psychiatry & Neurology | 3788 Spring Valley Rd, Boulder, CO 80304-1050 | 2010-06-01 |
| 1992036834 | Colorado Psychiatric Associataes, PC | Psychiatry & Neurology | 2501 Walnut St Ste 203, Boulder, CO 80302-5753 | 2010-01-15 |
| 1841424603 | Darrick Gary May | Psychiatry & Neurology | 1722 14th St Ste 150, Boulder, CO 80302-6334 | 2009-05-08 |
| 1639328321 | Gerald Chitters Md Pllc | Psychiatry & Neurology | 954 North St Ste 302, Boulder, CO 80304-3307 | 2008-09-17 |
| 1700075892 | Michael A. Zona | Psychiatry & Neurology | 6654 Gunpark Drive, #101, Boulder, CO 80301 | 2007-10-15 |
| 1356550131 | Joel Gregory Winner | Psychiatry & Neurology | 2595 Canyon Blvd, Suite 100, Boulder, CO 80302-6745 | 2007-05-21 |
| 1881713675 | Donald A. Misch | Psychiatry & Neurology | 1240 Pine St, Suite 213, Boulder, CO 80302-4809 | 2007-03-29 |
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| 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.