1. Home
  2. Directory
  3. Colorado
  4. Pueblo
  5. Psychiatry Neurology
  6. NPI Profile

POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1063209534
Psychiatry & Neurology - Psychiatry in Pueblo, CO

Active since April 21, 2025
56 CLUB MANOR DR STE 100, PUEBLO, CO 81008(719) 584-4767(719) 595-7906 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poudre Valley Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POUDRE VALLEY MEDICAL GROUP, LLC (NPI 1063209534), doing business as Uchealth Medical Group, is a healthcare organization registered as a psychiatry in Pueblo, Colorado and active in the NPI registry since April 2025. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1063209534
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address56 CLUB MANOR DR STE 100Pueblo, CO 81008-1685
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Phone(719) 584-4767
Fax(719) 595-7906
Organization SubpartYes
Authorized OfficialJana ConroyDirector Of Credentialing · (719) 584-4767
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1063209534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
56 CLUB MANOR DR STE 100, Pueblo, CO 81008
Open in Google Maps ↗

Other Names 2

Doing Business AsUchealth Medical Group
Other NameUchealth Behavioral Health Clinic - Pueblo

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poudre Valley Medical Group, LLC's NPI number?

The NPI number for Poudre Valley Medical Group, LLC is 1063209534. It was assigned to this organization in the NPPES registry on April 21, 2025. The provider is doing business as UCHealth Medical Group. The provider is also known as UCHealth Behavioral Health Clinic - Pueblo.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 56 Club Manor Dr Ste 100, Pueblo, CO 81008. The listed phone number is (719) 584-4767.

What is Poudre Valley Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Poudre Valley Medical Group, LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.