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

Active since September 07, 2021
1942 BROADWAY STE 314C, BOULDER, CO 80302(720) 310-0656 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Source Psychiatry, Pc NPPES

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

SOURCE PSYCHIATRY, PC (NPI 1215606918) is a healthcare organization registered as a psychiatry in Boulder, Colorado and active in the NPI registry since September 2021. The organization lists Audrey Hinshaw, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1215606918
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSOURCE PSYCHIATRY, PC
Location Address1942 BROADWAY STE 314CBoulder, CO 80302-5233
Mailing Address1942 Broadway Ste 314cBoulder, CO 80302-5233 · (720) 310-0656
Organization SubpartNo
Authorized OfficialAudrey HinshawPractice Manager · (720) 310-0656
Enumeration DateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
NPI 1215606918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1942 BROADWAY STE 314C, Boulder, CO 80302

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Social Worker (Clinical)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Counselor (Mental Health)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Behavior Analyst
1942 BROADWAY STE 314C
BOULDER, CO 80302
Social Worker (Clinical)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Social Worker (Clinical)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Dietitian, Registered
1942 BROADWAY STE 314C
BOULDER, CO 80302
Nutritionist
1942 BROADWAY STE 314C
BOULDER, CO 80302

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 Source Psychiatry, PC's NPI number?

The NPI number for Source Psychiatry, PC is 1215606918. It was assigned to this organization in the NPPES registry on September 7, 2021.

Where is Source Psychiatry, PC located?

Source Psychiatry, PC is located at 1942 Broadway Ste 314C, Boulder, CO 80302. The listed phone number is (720) 310-0656.

What is Source Psychiatry, PC'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 Source Psychiatry, PC was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.