SOURCE PSYCHIATRY, PC
NPI 1215606918
Psychiatry & Neurology - Psychiatry in Boulder, CO

NPI Status: Active since September 07, 2021

Contact Information

1942 BROADWAY STE 314C
BOULDER, CO
ZIP 80302
Phone: (720) 310-0656

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About SOURCE PSYCHIATRY, PC

This page provides the complete NPI Profile along with additional information for Source Psychiatry, Pc, a provider established in Boulder, Colorado operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1215606918 assigned on September 2021. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Audrey Hinshaw (Practice Manager)

NPI
1215606918
Provider Name
SOURCE PSYCHIATRY, PC
Entity Type
Organization
Location Address
1942 BROADWAY STE 314C BOULDER, CO 80302
Location Phone
(720) 310-0656
Mailing Address
1942 BROADWAY STE 314C BOULDER, CO 80302
Mailing Phone
(720) 310-0656
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2021
Last Update Date
09-07-2021
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A psychiatrist like Source Psychiatry, Pc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AUDREY HINSHAW

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(720) 310-0656

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215606918
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251201292
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 0 + 1 + 2 + 9 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1215606918 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457978900PEAK SERENITY COUNSELING & NUTRITION LLC
Organization
Counselor (Mental Health)1942 BROADWAY STE 314C
BOULDER, CO 80302
(330) 703-0435
1003586074 LIA CHALEM DOYLE-BURKE LCSW
Individual
Social Worker (Clinical)1942 BROADWAY STE 314C
BOULDER, CO 80302
(503) 421-7978
1912667411MARKKATZMD, LLC
Organization
Psychiatry & Neurology (Psychiatry)1942 BROADWAY STE 314C
BOULDER, CO 80302
(720) 340-3161
1952778367DR. BARBARA F JEDRZEJEK PSYD, LP
Individual
Psychologist (Clinical)1942 BROADWAY STE 314C
BOULDER, CO 80302
(720) 263-9123
1255080628PINE GROVE COUNSELING CENTER LLC
Organization
Community/Behavioral Health1942 BROADWAY STE 314C
BOULDER, CO 80302
(443) 834-6960
1184361222HONEY BEE COUNSELING LLC
Organization
Counselor (Professional)1942 BROADWAY STE 314C
BOULDER, CO 80302
(719) 480-1727
1548909708RECLAIM THERAPY LLC
Organization
Marriage & Family Therapist1942 BROADWAY STE 314C
BOULDER, CO 80302
(312) 857-6270
1619609112DR. SNEHA THAMOTHARAN PHD
Individual
Psychologist (Clinical)1942 BROADWAY STE 314C
BOULDER, CO 80302
(661) 903-1554
1245641885 ANNA CHAVEZ-SANDOVAL LPC
Individual
Counselor (Professional)1942 BROADWAY STE 314C
BOULDER, CO 80302
(719) 215-8469
1679214936GOLDEN SPIRAL COUNSELING, PLLC
Organization
Counselor (Professional)1942 BROADWAY STE 314C
BOULDER, CO 80302
(719) 215-8469
1790411361 NICOLE FISHER
Individual
Counselor (Mental Health)1942 BROADWAY STE 314C
BOULDER, CO 80302
(720) 767-3518
1174242572 BRYDEN SPEVAK LSW
Individual
Social Worker (Clinical)1942 BROADWAY STE 314C
BOULDER, CO 80302
(440) 212-5508
1184208829 LISA WHITFIELD
Individual
Psychologist1942 BROADWAY STE 314C
BOULDER, CO 80302
(720) 465-4445
1326766502SAFE HAVEN EBEHAVIORAL HEALTH
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1942 BROADWAY STE 314C
BOULDER, CO 80302
(720) 637-5809
1356069546ATOMIC PHYSICAL THERAPY LLC
Organization
Clinic/Center (Physical Therapy)1942 BROADWAY STE 314C
BOULDER, CO 80302
(720) 869-1857
1417675539RELIANT PSYCHIATRIC SERVICES, LLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)1942 BROADWAY STE 314C
BOULDER, CO 80302
(803) 614-5810
1003533696 CATHRYN WRIGHT
Individual
Counselor (Professional)1942 BROADWAY STE 314C
BOULDER, CO 80302
(720) 663-0954
1275251027RUSHMORE ANESTHESIA LLC
Organization
Anesthesiology1942 BROADWAY STE 314C
BOULDER, CO 80302
(720) 202-8846
1417525593LAM NUTRITION, LLC
Organization
Dietitian, Registered1942 BROADWAY STE 314C
BOULDER, CO 80302
(720) 514-9365
1154037539HEALTHY YOU LLC
Organization
Nurse Practitioner (Primary Care)1942 BROADWAY STE 314C
BOULDER, CO 80302
(970) 227-0898

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215606918, enumerated in the NPI registry as an "organization" on September 07, 2021

The provider is located at 1942 Broadway Ste 314c Boulder, Co 80302 and the phone number is (720) 310-0656

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

This NPI record was last updated on September 07, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.