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FOUR CORNERS MENTAL HEALTH, LLC
NPI 1528169117
Psychologist - Clinical Child & Adolescent in Durango, CO

Active since September 26, 2006
2855 MAIN AVE, SUITE A105, DURANGO, CO 81301(970) 382-6690(970) 382-0207 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Four Corners Mental Health, Llc NPPES

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

FOUR CORNERS MENTAL HEALTH, LLC (NPI 1528169117) is a healthcare organization registered as a clinical child & adolescent in Durango, Colorado and active in the NPI registry since September 2006. The organization lists Mark A Braunstein, Owner, as its authorized official.

NPPES Registry Identity

NPI1528169117
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameFOUR CORNERS MENTAL HEALTH, LLC
Location Address2855 MAIN AVE, SUITE A105Durango, CO 81301
Mailing Address2855 Main Ave, Suite A105Durango, CO 81301 · (970) 382-6690 · Fax (970) 382-0207
Phone(970) 382-6690
Fax(970) 382-0207
Organization SubpartNo
Authorized OfficialMark A BraunsteinOwner · (970) 382-6690
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 22, 2011
✔ NPI 1528169117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CO · 40471
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
2855 MAIN AVE, Durango, CO 81301
Open in Google Maps ↗

Other Identifiers 1

Medicare PINC807372CO

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MARK RM DICKMANN MSW, LCSW
Social Worker (Clinical)
2855 MAIN AVE, SUITE A-107
DURANGO, CO 81301
La Plata County (970) 259-5711
MOMENTUM COUNSELING AND CONSULTING LLC
Counselor (Professional)
2855 MAIN AVE
DURANGO, CO 81301
La Plata County (970) 829-8780
MARK DICKMANN, MSW, LCSW, LLC
Social Worker (Clinical)
2855 MAIN AVE, SUITE A-107
DURANGO, CO 81301
La Plata County (970) 259-5711
RUBY JO WALKER LCSW,EMDR CERT,CHT,C
Social Worker (Clinical)
2855 MAIN AVE, UNIT A107
DURANGO, CO 81301
La Plata County (970) 259-5711
DR. MATTHEW EVAN BURGESS O.D.
Optometrist
2855 MAIN AVE, STE A103
DURANGO, CO 81301
La Plata County (970) 382-8970
PEAK WELLNESS AND NUTRITION INC.
Clinic/Center
2855 MAIN AVE, STE. 105A
DURANGO, CO 81301
La Plata County (970) 259-1712
ENVISION DURANGO LLC
Optometrist
2855 MAIN AVE, STE A103
DURANGO, CO 81301
La Plata County (970) 382-8790
REGAN S THAW LCSW
Social Worker (Clinical)
2855 MAIN AVE, SUITE A105
DURANGO, CO 81301
La Plata County (970) 259-2337

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 Four Corners Mental Health, LLC's NPI number?

The NPI number for Four Corners Mental Health, LLC is 1528169117. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Four Corners Mental Health, LLC located?

Four Corners Mental Health, LLC is located at 2855 Main Ave Suite A105, Durango, CO 81301. The listed phone number is (970) 382-6690.

What is Four Corners Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Four Corners Mental Health, LLC was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.