FORENSIC UNDER 21
NPI 1235261637
Psychiatric Unit in Pueblo, CO

NPI Status: Active since March 12, 2007

Contact Information

1600 W 24TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 546-4000
Fax: (719) 546-4484

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  • Organization
  • Psychiatric Unit

About FORENSIC UNDER 21

This page provides the complete NPI Profile along with additional information for Forensic Under 21, a provider established in Pueblo, Colorado operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1235261637 assigned on March 2007. The practitioner's primary taxonomy code is 273R00000X with license number 0295 (CO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Forensic Under 21. The authorized official of this NPI record is Ms. Victoria Trapp Psyd (Deputy Director)

NPI
1235261637
Provider Legal Name
COLORADO MENTAL HEALTH INSTITUTE PUEBLO
Other Organization Name
FORENSIC UNDER 21
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1600 W 24TH ST PUEBLO, CO 81003
Location Phone
(719) 546-4000
Location Fax
(719) 546-4484
Mailing Address
1600 W 24TH ST PUEBLO, CO 81003
Mailing Phone
(719) 546-4000
Mailing Fax
(719) 546-4484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2007
Last Update Date
06-15-2020
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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

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
License No.
0295
License State
CO
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336L0003XSuppliers

Pharmacy
Long Term Care Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. VICTORIA TRAPP PSYD

Authorized Official Title
DEPUTY DIRECTOR
Authorized Official Phone
(720) 701-2169

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
03211885MEDICAID (05)CO 
88977048MEDICAID (05)CO 

Reviews for FORENSIC UNDER 21

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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.
1235261637
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226546266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 6 + 2 + 6 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1235261637 is valid because the calculated check digit 7 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
1568405892DR. ROBERT LOUIS MANGUSO M.D.
Individual
Internal Medicine1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4313
1104869445DR. GABRIELA LILIANA PETRESCU M.D.
Individual
General Practice1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4204
1164467536DR. RINA K. SHINN M.D.
Individual
Surgery1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4947
1932144300DR. JULIE L. MEEKER M.D.
Individual
Psychiatry & Neurology (Psychiatry)1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4273
1245275841DR. SOMASUNDARAM RAJENDRAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4083
1497790752 RANAE K. KETCHEN
Individual
Specialist/Technologist, Other1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4135
1063457331 ELLEN L. CORNETT OTR
Individual
Occupational Therapist1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4409
1780629808 LOY SHERRI LIGHTFOOT
Individual
Rehabilitation Counselor1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4742
1376589416 HEATHER A. FREITAG
Individual
Occupational Therapist1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4576
1730125659 SHARON L. GLADMAN OTR
Individual
Occupational Therapist1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4072
1275579369 JENNIFER L. IVERSON
Individual
Occupational Therapy Assistant1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4869
1003852906 LARRY W. SALAS
Individual
Rehabilitation Practitioner1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4000
1396781266 ANTJE F.W. GOEKEN
Individual
Psychologist1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4589
1023054830 MARY E. WALKER-MESSER
Individual
Occupational Therapy Assistant1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4284
1487690293 BIRGIT M. FISHER PHD
Individual
Psychologist1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4739
1811933385 DONNA K. HEGVIK
Individual
Psychologist1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4132
1669408654DR. ELIZABETH M. GARCIA M.D.
Individual
Family Medicine1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4402
1578599569DR. JAMES DAVID HOOKER M.D.
Individual
Psychiatry & Neurology (Psychiatry)1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4081
1285660282DR. RICHARD M. ASTAFAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4995
1811923816DR. ELISSA BALL M.D.
Individual
Psychiatry & Neurology (Psychiatry)1600 W 24TH ST
PUEBLO, CO 81003
(719) 546-4964

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235261637, enumerated in the NPI registry as an "organization" on March 12, 2007

The provider is located at 1600 W 24th St Pueblo, Co 81003 and the phone number is (719) 546-4000

This medical organization specializes in Psychiatric Unit with taxonomy code 273R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 12, 2007. 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.