DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOURCE PSYCHIATRY, PC

Active Organization

SOURCE PSYCHIATRY, PC is a Psychiatry organization located in BOULDER, Colorado. NPI 1215606918 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · BOULDER, CO

Registration Details

NPI Number
1215606918
Provider Type
Organization
NPI Issued
Sep 7, 2021 (4.9261686021141 yrs)
Last Updated
Sep 7, 2021

Practice Information

Address
1942 BROADWAY STE 314C
BOULDER, CO, 803025233
Browse CO providers · Browse ZIP 80302
Phone
7203100656
Primary Specialty
Psychiatry
2084P0800X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.