1. Home
  2. Directory
  3. Colorado
  4. Longmont
  5. Specialist
  6. NPI Profile

COLORADO MOOD AND MEMORY CLINIC
NPI 1609047430
Specialist in Longmont, CO

Active since March 19, 2008
1308 VIVIAN ST, LONGMONT, CO 80501(303) 682-9197 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Colorado Mood And Memory Clinic NPPES

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

COLORADO MOOD AND MEMORY CLINIC (NPI 1609047430) is a healthcare organization registered as a specialist in Longmont, Colorado and active in the NPI registry since March 2008. The organization lists Haleh Nekoorad-long, President, as its authorized official.

NPPES Registry Identity

NPI1609047430
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHALEH NEKOORAD-LONG,M.D.,P.C.
Location Address1308 VIVIAN STLongmont, CO 80501-3217
Mailing Address1308 Vivian StLongmont, CO 80501-3217 · (303) 682-9197
Phone(303) 682-9197
Organization SubpartNo
Authorized OfficialHaleh Nekoorad-longPresident · (303) 682-9197
Enumeration DateMarch 19, 2008
✔ NPI 1609047430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CO · 41484
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1308 VIVIAN ST, Longmont, CO 80501
Open in Google Maps ↗

Other Names 1

Doing Business AsColorado Mood And Memory Clinic

Other Identifiers 2

Other1952492571CO · Individual Npi
Medicare UPINH46661CO

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 5

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

SUSAN GRAHAM PA
Physician Assistant
1308 VIVIAN ST
LONGMONT, CO 80501
Boulder County (800) 628-7828
FRONT RANGE CLINIC INC.
Family Medicine (Addiction Medicine)
1308 VIVIAN ST
LONGMONT, CO 80501
Boulder County (303) 834-8809
SAMANTHA GEHRING FNP-C
Nurse Practitioner
1308 VIVIAN ST
LONGMONT, CO 80501
Boulder County (303) 834-8809
MARK EDWARD BABCOCK L.C.S.W.
Social Worker (Clinical)
1308 VIVIAN ST
LONGMONT, CO 80501
Boulder County (720) 635-0711
ROCKY MOUNTAIN CLINICS LLC
Family Medicine (Addiction Medicine)
1308 VIVIAN ST
LONGMONT, CO 80501
Boulder County (303) 834-8809

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 Haleh Nekoorad-Long,m.D.,p.C.'s NPI number?

The NPI number for Haleh Nekoorad-Long,m.D.,p.C. is 1609047430. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Colorado Mood And Memory Clinic.

Where is Haleh Nekoorad-Long,m.D.,p.C. located?

Haleh Nekoorad-Long,m.D.,p.C. is located at 1308 Vivian St, Longmont, CO 80501. The listed phone number is (303) 682-9197.

What is Haleh Nekoorad-Long,m.D.,p.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Haleh Nekoorad-Long,m.D.,p.C. was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.