Healthcare Provider Details

I. General information

NPI: 1497666085
Provider Name (Legal Business Name): COLLEIDOSCOPE 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: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S CHERRY ST STE #820
DENVER CO
80246
US

IV. Provider business mailing address

4255 S BUCKLEY RD # 264
AURORA CO
80013-2951
US

V. Phone/Fax

Practice location:
  • Phone: 719-401-1186
  • Fax: 719-888-1745
Mailing address:
  • Phone: 719-401-1186
  • Fax: 719-888-1745

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: ANNE CALLAHAN COLLAR
Title or Position: CEO
Credential: PMHNP-BC
Phone: 719-401-1186