Healthcare Provider Details

I. General information

NPI: 1427952688
Provider Name (Legal Business Name): HIGH PLAINS PSYCHIATRIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 FILLMORE ST APT 1006
DENVER CO
80206-1590
US

IV. Provider business mailing address

1650 FILLMORE ST APT 1006
DENVER CO
80206-1590
US

V. Phone/Fax

Practice location:
  • Phone: 719-966-0534
  • Fax:
Mailing address:
  • Phone: 719-966-0534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JUDY KANTA PATE
Title or Position: OWNER
Credential: PMHNP
Phone: 832-638-8872