Healthcare Provider Details
I. General information
NPI: 1194633115
Provider Name (Legal Business Name): RYZE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16309 W 97TH CIR
ARVADA CO
80007
US
IV. Provider business mailing address
4845 PEARL EAST CIR STE 118
BOULDER CO
80301-6112
US
V. Phone/Fax
- Phone: 720-741-6740
- Fax:
- Phone: 720-741-6740
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ANGELA
K
LANG
Title or Position: OWNER
Credential: PMHNP
Phone: 856-562-7970