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SHADOW MOUNTAIN MENTAL HEALTH
NPI 1437709987
Nurse Practitioner - Psychiatric/Mental Health in Boulder, CO

Active since September 17, 2019
1200 28TH ST STE 200B, BOULDER, CO 80303(505) 716-0958(720) 684-5091 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 27, 2021, Sep 17, 2019 (2 updates tracked since 2019).

About Shadow Mountain Mental Health NPPES

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

SHADOW MOUNTAIN MENTAL HEALTH (NPI 1437709987) is a healthcare organization registered as a psychiatric/mental health in Boulder, Colorado and active in the NPI registry since September 2019. The organization lists Anne Elizabeth Miller, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1437709987
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSHADOW MOUNTAIN MENTAL HEALTH
Location Address1200 28TH ST STE 200BBoulder, CO 80303-1756
Mailing Address1245 Hummingbird CirLongmont, CO 80501-8693 · (505) 716-0958 · Fax (720) 684-5091
Phone(505) 716-0958
Fax(720) 684-5091
Organization SubpartNo
Authorized OfficialAnne Elizabeth MillerPsychiatric Nurse Practitioner · (505) 716-0958
Enumeration DateSeptember 17, 2019
Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
✔ NPI 1437709987 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
1200 28TH ST STE 200B, Boulder, CO 80303
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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 3

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

DR. VANESSA BEAN PH.D.
Psychologist (Counseling)
1200 28TH ST STE 200B
BOULDER, CO 80303
Boulder County (720) 924-9873
JOSHUA DAVID GOLDMAN MSW
Social Worker (Clinical)
1200 28TH ST STE 200B
BOULDER, CO 80303
Boulder County (303) 598-3974
MICHIKO MITSUNAGA-WHITTEN LCSW
Social Worker (Clinical)
1200 28TH ST STE 200B
BOULDER, CO 80303
Boulder County (720) 893-1127

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 Shadow Mountain Mental Health's NPI number?

The NPI number for Shadow Mountain Mental Health is 1437709987. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Shadow Mountain Mental Health located?

Shadow Mountain Mental Health is located at 1200 28th St Ste 200B, Boulder, CO 80303. The listed phone number is (505) 716-0958.

What is Shadow Mountain Mental Health'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 Shadow Mountain Mental Health was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.