Healthcare Provider Details

I. General information

NPI: 1760309082
Provider Name (Legal Business Name): COLORADO PSYCHIATRIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 E HAMPDEN AVE STE 207D
DENVER CO
80224-3021
US

IV. Provider business mailing address

1600 W 38TH ST STE 421
AUSTIN TX
78731-6407
US

V. Phone/Fax

Practice location:
  • Phone: 720-251-4711
  • Fax: 512-407-9448
Mailing address:
  • Phone: 720-251-4711
  • Fax: 512-407-9448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BLAYNE HARRIS
Title or Position: OWNER/PRESIDENT/MEDICAL DIRECTOR
Credential: MD
Phone: 720-251-4711