Provider Demographics
NPI:1013759323
Name:ROCKY MOUNTAIN PSYCHIATRIC SERVICES, INC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN PSYCHIATRIC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ENSMINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-885-3019
Mailing Address - Street 1:1367 S HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2316
Mailing Address - Country:US
Mailing Address - Phone:303-885-3019
Mailing Address - Fax:303-630-0682
Practice Address - Street 1:1155 N SHERMAN ST STE 307
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2295
Practice Address - Country:US
Practice Address - Phone:720-916-7297
Practice Address - Fax:303-630-0682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty