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DERRICK SHAIN PSYCHOTHERAPIST
NPI 1740879410
Counselor - Mental Health in Boulder, CO

Active since January 15, 2021
1650 38TH ST STE 100E, BOULDER, CO 80301(660) 383-2641 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derrick Shain Psychotherapist NPPES

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

DERRICK SHAIN PSYCHOTHERAPIST (NPI 1740879410) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1740879410
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK SHAINCredential: PSYCHOTHERAPIST
Location Address1650 38TH ST STE 100EBoulder, CO 80301-2624
Mailing Address620 Grandview Mdws Dr Unit F205Longmont, CO 80503-8966 · (660) 383-2641
Phone(660) 383-2641
Sole ProprietorYes
Enumeration DateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1740879410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1650 38TH ST STE 100E, Boulder, CO 80301
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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.

KELLY BERRY, MSW, LCSW, LLC
Social Worker (Clinical)
1650 38TH ST STE 100E
BOULDER, CO 80301
Boulder County (720) 295-2697
NICHOLAS THOMAS SERRO LCSW
Social Worker
1650 38TH ST STE 100E
BOULDER, CO 80301
Boulder County (720) 773-0686
MISS BETH A ERLANDER MA, LPC, ATR
Counselor (Professional)
1650 38TH ST STE 100E
BOULDER, CO 80301
Boulder County (720) 470-3513
THE OTHER THERAPY ONLINE, LLC
Counselor (Professional)
1650 38TH ST STE 100E
BOULDER, CO 80301
Boulder County (970) 319-7190
DOUBLE DIAMOND COUNSELING LLC
Counselor (Professional)
1650 38TH ST STE 100E
BOULDER, CO 80301
Boulder County (720) 593-4701
ALEXA OWEN
Social Worker
1650 38TH ST STE 100E
BOULDER, CO 80301
Boulder County (203) 803-3234
FULL CIRCLE WHOLENESS, LLC
Counselor (Mental Health)
1650 38TH ST STE 100E
BOULDER, CO 80301
Boulder County (720) 784-5222
DANIEL BROWN DPT
Physical Therapist
1650 38TH ST STE 100E
BOULDER, CO 80301
Boulder County (502) 320-6784

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 Derrick Shain's NPI number?

The NPI number for Derrick Shain is 1740879410. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Derrick Shain located?

Derrick Shain practices at 1650 38th St Ste 100E, Boulder, CO 80301. The listed phone number is (660) 383-2641.

What is Derrick Shain's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derrick Shain was last updated on January 15, 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.