Provider Demographics
NPI:1326930751
Name:ZINA ORTIZ
Entity type:Organization
Organization Name:ZINA ORTIZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-495-1183
Mailing Address - Street 1:7596 W JEWELL AVE # 1-202
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6889
Mailing Address - Country:US
Mailing Address - Phone:719-223-3261
Mailing Address - Fax:844-412-7875
Practice Address - Street 1:7596 W JEWELL AVE # 1-202
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6889
Practice Address - Country:US
Practice Address - Phone:719-223-3261
Practice Address - Fax:844-412-7875
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELEPHANT IN THE ROOM LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-18
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000249866Medicaid