BOULDER ALCOHOL EDUCATION CENTER INC (NPI# 1992345458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992345458 |
| Entity Type | Organization |
| Organization Name | BOULDER ALCOHOL EDUCATION CENTER INC |
| Practice Address |
1525 Spruce St Ste 100 Boulder CO 80302-4256 |
| Practice Telephone | 3034446142 |
| Practice Fax Number | 3034446177 |
| Mailing Telephone | 3034446142 |
| Mailing Fax Number | 3034446177 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | JOHN O GILBURT (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7202357000 |
| Authorized Official Credential | PHD, CAC III, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO OFFICE OF BEHAVIORAL HEALTH | 1111-00 | 01 |
| Street Address |
1525 SPRUCE ST STE 100 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574882 | Loretta Miller | Counselor | 1525 Spruce St Ste 100, Boulder, CO 80302-4256 | 2018-07-02 |
| 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 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558767764 | Cynthia Rutledge | Psychologist | 255 Canyon Blvd Ste 300, Boulder, CO 80302-4954 | 2014-11-16 |
| 1346378809 | Robert Lee March IIi | Psychologist | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114495900 | Robyn Lea Hacker | Psychologist | 1693 N. Quentin Street, Aurora, CO 80045 | 2018-11-09 |
| 1932623717 | Larry Curry | Psychologist | 10200 E. Girard Avenue, Suite B-222, Denver, CO 80231 | 2017-08-02 |
| 1538697131 | Timothy Mcdonald | Psychologist | 191 E Orchard Rd Ste A, Littleton, CO 80121-8055 | 2017-05-25 |
| 1295021525 | Erin Leigh Ashby | Psychologist | 1401 Potter Dr, Suite 101, Colorado Springs, CO 80909-3558 | 2011-06-24 |
| 1508099292 | Alpine Springs Counseling, P.C. | Psychologist | 1432 Grand Ave, Glenwood Springs, CO 81601-3808 | 2009-08-27 |
| 1538791769 | Valencia Tripp | Psychologist | 2460 W 26th Ave, Denver, CO 80211-5308 | 2020-02-05 |
| 1649820481 | St Mary's Hospital and Medical Center, Inc | Psychologist | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2019-09-13 |
| 1295298826 | Shannon Mcshane | Psychologist | 464 Washington St, Monument, CO 80132-9171 | 2019-04-10 |
| 1538661228 | Adherence Counseling Center | Psychologist | 12101 E 2nd Ave Ste 100, Aurora, CO 80011-8328 | 2018-03-08 |
| 1912415837 | Alanna P Baker | Psychologist | 606 S Tejon St, Colorado Springs, CO 80903-4026 | 2018-01-12 |
| Find all providers with the same taxonomy | ||||
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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.