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ONE ONE THOUSAND LLC
NPI 1265216543
Nurse Practitioner - Psychiatric/Mental Health in Boulder, CO

Active since August 21, 2023
825 S BROADWAY UNIT 10, BOULDER, CO 80305(720) 437-9488 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About One One Thousand Llc NPPES

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

ONE ONE THOUSAND LLC (NPI 1265216543), doing business as The Untitled Mind Ketamine & Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Boulder, Colorado and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Denver and lists Adam Sheely, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1265216543
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameONE ONE THOUSAND LLC
Location Address825 S BROADWAY UNIT 10Boulder, CO 80305
Mailing Address1074 Berea DriveBoulder, CO 80305
Phone(720) 437-9488
Organization SubpartNo
Authorized OfficialAdam SheelyOwner/nurse Practitioner · (720) 437-9488
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 19, 2023
✔ NPI 1265216543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
825 S BROADWAY UNIT 10, Boulder, CO 80305
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Other Names 1

Doing Business AsThe Untitled Mind Ketamine & Psychiatry

Secondary Practice Location 1

Location 12150 W 29th Ave Suite 320Denver, CO 80211

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

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 One One Thousand LLC's NPI number?

The NPI number for One One Thousand LLC is 1265216543. It was assigned to this organization in the NPPES registry on August 21, 2023. The provider is doing business as The Untitled Mind Ketamine & Psychiatry.

Where is One One Thousand LLC located?

One One Thousand LLC is located at 825 S Broadway Unit 10, Boulder, CO 80305. The listed phone number is (720) 437-9488.

What is One One Thousand LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for One One Thousand LLC was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.