OPTIMINDHEALTH
NPI 1942668165
Clinic/Center - Mental Health (Including Community Mental Health Center) in Boulder, CO

NPI Status: Active since February 02, 2016

Contact Information

4770 BASELINE RD STE 200
BOULDER, CO
ZIP 80303
Phone: (720) 893-0842

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About OPTIMINDHEALTH

This page provides the complete NPI Profile along with additional information for Optimindhealth, a provider established in Boulder, Colorado operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1942668165 assigned on February 2016. The practitioner's primary taxonomy code is 261QM0801X with license number DR.0056212 (CO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Optimindhealth. The authorized official of this NPI record is Dr. Joseph Yeretsian Md (President)

NPI
1942668165
Provider Legal Name
JOSEPH YERETSIAN, P.C.
Other Organization Name
OPTIMINDHEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4770 BASELINE RD STE 200 BOULDER, CO 80303
Location Phone
(720) 893-0842
Mailing Address
4770 BASELINE RD 2ND FLOOR BOULDER, CO 80303
Mailing Phone
(720) 893-0842
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2016
Last Update Date
01-02-2020
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
DR.0056212
License State
CO

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

DR. JOSEPH YERETSIAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(617) 507-1472

Reviews for OPTIMINDHEALTH

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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.
1942668165
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
298212616112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 2 + 6 + 1 + 6 + 1 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1942668165 is valid because the calculated check digit 5 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
1528698339 MIKIO MINOBE
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1457539603DR. HEATHER L. STEFFEN PSYD
Individual
Psychologist4770 BASELINE RD STE 200
BOULDER, CO 80303
(720) 893-0842
1154715894 MARNESSA J BAMBARA LCSW
Individual
Social Worker4770 BASELINE RD STE 200
BOULDER, CO 80303
(720) 893-0842
1336687060 SARAH SCHUMACHER PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)4770 BASELINE RD STE 200
BOULDER, CO 80303
(720) 893-0842
1649869371 KELSIE MODLICH
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1205425899 SATORI XIOMARA BAHUS-MEYER
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1639769961 NATASHA WHITE NONE
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3478
1619542701 SHOSHANA ZERBOCK
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1811296817 DARA LYNN KOLODNER M.D.
Individual
Psychiatry & Neurology (Psychiatry)4770 BASELINE RD STE 200
BOULDER, CO 80303
(720) 715-8459
1811569817 KYLE THOMAS STEWART
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1093387201 CHLOE ELISABETH VELASQUEZ
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1306519616 KELTY ROSE BALCERZAK
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1104590918 SAMANTHA LUECKE
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1295409860MISS GENE HONGPANANOND
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1164196655 ANNALISE LAURA NEHRING
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 682-3476
1518631043 HARPER LANE GOODMAN NONE
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 982-3476
1427728658SHOREPEAK PSYCHIATRIC SERVICES, PLLC
Organization
Psychiatry & Neurology (Psychiatry)4770 BASELINE RD STE 200
BOULDER, CO 80303
(720) 715-8459
1366194979 REBEKAH MALDONADO NONE
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 982-3476
1972255222 ABIGAIL GERTRUDE BOHN
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 982-3476
1083380158 KHAILIE R HATTER
Individual
Behavior Technician4770 BASELINE RD STE 200
BOULDER, CO 80303
(970) 982-3476

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942668165, enumerated in the NPI registry as an "organization" on February 02, 2016

The provider is located at 4770 Baseline Rd Ste 200 Boulder, Co 80303 and the phone number is (720) 893-0842

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on February 02, 2016. 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.