MEDICARE: REGENTS OF THE UNIVERSITY OF COLORADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1336090869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGENTS OF THE UNIVERSITY OF COLORADO

Provider Business Mailing Address
First Line	:	3738 W PRINCETON CIR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80236-3110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3680 W PRINCETON CIR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80236-3109
Country	:	US
Telephone Number	:	303-934-1008
Fax Number	:

Authorized Official
Title or Position	:	ARTS DIRECTOR OF OPERATIONS
Name	:	ANGI WOLD
Credential	:
Telephone Number	:	303-734-3317

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “REGENTS OF THE UNIVERSITY OF COLORADO ” Practice Location

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