Provider Demographics
NPI:1740335785
Name:ROCKY MOUNTAIN PSYCHIATRIC SERVICES LLC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DOBI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:303-485-3457
Mailing Address - Street 1:200 COFFMAN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5919
Mailing Address - Country:US
Mailing Address - Phone:303-485-3457
Mailing Address - Fax:720-494-7713
Practice Address - Street 1:200 COFFMAN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5919
Practice Address - Country:US
Practice Address - Phone:303-485-3457
Practice Address - Fax:720-494-7713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94062363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty