EMERGENCE PSYCHEDELIC THERAPY, LLC
NPI 1407723497
Clinic/Center in Boulder, CO

Q: What is Emergence Psychedelic Therapy, LLC's NPI number?

The NPI number for Emergence Psychedelic Therapy, LLC is 1407723497. It was assigned to this organization in the NPPES registry on October 22, 2025.

Q: What is Emergence Psychedelic Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 22, 2025

825 S BROADWAY ST STE 100, BOULDER, CO 80305(303) 578-8845 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Emergence Psychedelic Therapy, Llc NPPES

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

EMERGENCE PSYCHEDELIC THERAPY, LLC (NPI 1407723497) is a healthcare organization registered as a clinic/center in Boulder, Colorado and active in the NPI registry since October 2025. The organization lists Stacy Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1407723497

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameEMERGENCE PSYCHEDELIC THERAPY, LLC

Location Address825 S BROADWAY ST STE 100Boulder, CO 80305-5932

Mailing Address825 S Broadway St Ste 100Boulder, CO 80305-5932 · (303) 578-8845

Phone(303) 578-8845

Organization SubpartNo

Authorized OfficialStacy GreenOwner · (720) 442-3565

Enumeration DateOctober 22, 2025

Last NPPES UpdateJanuary 23, 2026

NPPES CertifiedJanuary 23, 2026

✔ NPI 1407723497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

825 S BROADWAY ST STE 100, Boulder, CO 80305

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Other Providers at the Same Location NPPES 2

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

DR. STACY ROBIN GREEN M.D.

General Practice

825 S BROADWAY ST STE 100
BOULDER, CO 80305

Boulder County (303) 717-2521

STACY GREEN ENTERPRISES, LLC

Clinic/Center (Health Service)

825 S BROADWAY ST STE 100
BOULDER, CO 80305

Boulder County (303) 717-2521

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 Emergence Psychedelic Therapy, LLC's NPI number?

The NPI number for Emergence Psychedelic Therapy, LLC is 1407723497. It was assigned to this organization in the NPPES registry on October 22, 2025.

Where is Emergence Psychedelic Therapy, LLC located?

Emergence Psychedelic Therapy, LLC is located at 825 S Broadway St Ste 100, Boulder, CO 80305. The listed phone number is (303) 578-8845.

What is Emergence Psychedelic Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Emergence Psychedelic Therapy, LLC was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.