MEDICARE: CALMARA PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1790645984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALMARA PLLC

Provider Business Mailing Address
First Line	:	1560 BOULDER ST UNIT 219
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4005
Country	:	US
Telephone Number	:	504-256-0780
Fax Number	:	833-849-9907

Provider Business Practice Location Address
First Line	:	1560 BOULDER ST UNIT 219
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4005
Country	:	US
Telephone Number	:	504-256-0780
Fax Number	:	833-849-9907

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	ALEXANDRA HIMEL
Credential	:	PMHNP-BC
Telephone Number	:	504-256-0780

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	11/12/2025

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