Healthcare Provider Details

I. General information

NPI: 1548190457
Provider Name (Legal Business Name): AHN INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S MCCASLIN BLVD STE 105
SUPERIOR CO
80027-9701
US

IV. Provider business mailing address

4555 OTTAWA PL
BOULDER CO
80303-3724
US

V. Phone/Fax

Practice location:
  • Phone: 303-444-5006
  • Fax:
Mailing address:
  • Phone: 720-331-6022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: ROIANNE RICHARDSON AHN
Title or Position: OWNER
Credential: PH.D.
Phone: 720-331-6022