Healthcare Provider Details

I. General information

NPI: 1083525851
Provider Name (Legal Business Name): HIGH LINE PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE N
DENVER CO
80203-1859
US

IV. Provider business mailing address

7930 E KENYON AVE
DENVER CO
80237-1520
US

V. Phone/Fax

Practice location:
  • Phone: 720-806-6779
  • Fax: 720-864-1737
Mailing address:
  • Phone: 720-806-6779
  • Fax: 720-864-1737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROSS VAN ALLEN
Title or Position: OWNER
Credential: PMHNP
Phone: 720-806-6779