Legacy Mental Health LLC
Psychiatry & Neurology, Psychiatry in Commerce City, CO. Organization (NPI-2).
NPI number1104680271
StatusActive
Last updated in NPPESFeb 9, 2024
Details
- NPI
- 1104680271
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Mental Health LLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2024
- Certification date
- Feb 9, 2024
- Last updated
- Feb 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
13575 E 104th Ave Unit 300Commerce City, CO 80022-8401
Phone 720-689-1165 · Fax 616-369-0917
Mailing address
10940 S Parker Rd # 179Parker, CO 80134-7440
Phone 720-338-6870 · Fax 616-369-0917
Authorized official
Typhanie Beasley
Nurse Practitioner
7203386870
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