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SHOREPEAK PSYCHIATRIC SERVICES, PLLC
NPI 1427728658
Psychiatry & Neurology - Psychiatry in Boulder, CO

Active since September 19, 2021
4770 BASELINE RD STE 200, BOULDER, CO 80303(720) 715-8459 Get Directions Write a Review

NPPES record last updated: September 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shorepeak Psychiatric Services, Pllc NPPES

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

SHOREPEAK PSYCHIATRIC SERVICES, PLLC (NPI 1427728658), doing business as Shorepeak Psychiatry And Wellness, is a healthcare organization registered as a psychiatry in Boulder, Colorado and active in the NPI registry since September 2021. The organization lists Abdelrahman E Selim, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1427728658
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSHOREPEAK PSYCHIATRIC SERVICES, PLLC
Location Address4770 BASELINE RD STE 200Boulder, CO 80303-2668
Mailing Address4770 Baseline Rd Ste 200Boulder, CO 80303-2668 · (720) 715-8459
Phone(720) 715-8459
Organization SubpartNo
Authorized OfficialAbdelrahman E SelimCo-owner · (720) 715-8459
Enumeration DateSeptember 19, 2021
NPPES CertifiedSeptember 19, 2021
✔ NPI 1427728658 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.
4770 BASELINE RD STE 200, Boulder, CO 80303
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Other Names 1

Doing Business AsShorepeak Psychiatry And Wellness

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.

LINDA EVE NONE
Behavior Technician
4770 BASELINE RD STE 200
BOULDER, CO 80303
Boulder County (970) 982-3476
LAURA JOANNE BAUER
Behavior Technician
4770 BASELINE RD STE 200
BOULDER, CO 80303
Boulder County (970) 982-3476
KHAILIE R HATTER
Behavior Technician
4770 BASELINE RD STE 200
BOULDER, CO 80303
Boulder County (970) 982-3476
CHLOE ELISABETH VELASQUEZ
Behavior Technician
4770 BASELINE RD STE 200
BOULDER, CO 80303
Boulder County (970) 682-3476
SAMANTHA LUECKE
Behavior Technician
4770 BASELINE RD STE 200
BOULDER, CO 80303
Boulder County (970) 682-3476
MS. JULIA MIRIAM SLOMOVIC NONE
Behavior Technician
4770 BASELINE RD STE 200
BOULDER, CO 80303
Boulder County (970) 982-3476
MARNESSA J BAMBARA LCSW
Social Worker
4770 BASELINE RD STE 200
BOULDER, CO 80303
Boulder County (720) 893-0842
ANNALISE LAURA NEHRING
Behavior Technician
4770 BASELINE RD STE 200
BOULDER, CO 80303
Boulder County (970) 682-3476

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 Shorepeak Psychiatric Services, PLLC's NPI number?

The NPI number for Shorepeak Psychiatric Services, PLLC is 1427728658. It was assigned to this organization in the NPPES registry on September 19, 2021. The provider is doing business as ShorePeak Psychiatry and Wellness.

Where is Shorepeak Psychiatric Services, PLLC located?

Shorepeak Psychiatric Services, PLLC is located at 4770 Baseline Rd Ste 200, Boulder, CO 80303. The listed phone number is (720) 715-8459.

What is Shorepeak Psychiatric Services, PLLC'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 Shorepeak Psychiatric Services, PLLC was last updated on September 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.