NPI Code Detail JSON Logo

1275611329 NPI number — CANYON BEHAVIORAL HEALTH

NPI Number: 1275611329
Health Care Provider/Practitioner: CANYON BEHAVIORAL HEALTH

Information about “1275611329” NPI (CANYON BEHAVIORAL HEALTH) exists in 1275611329 in HTML format HTML  |  1275611329 in plain Text format TXT  |  1275611329 in PDF (Portable Document Format) PDF  |  1275611329 in an XML format XML  formats.

NPI Number : 1275611329 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275611329",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CANYON BEHAVIORAL HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8704 YATES DRIVE",
    "SecondLineMailingAddress": "SUITE 100D",
    "MailingAddressCityName": "WESTMINSTER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80031-6950",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-430-4010",
    "MailingAddressFaxNumber": "303-430-5306",
    "FirstLinePracticeLocationAddress": "8704 YATES DRIVE",
    "SecondLinePracticeLocationAddress": "SUITE 100D",
    "PracticeLocationAddressCityName": "WESTMINSTER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80031-6950",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-430-4010",
    "PracticeLocationAddressFaxNumber": "303-430-5306",
    "EnumerationDate": "11/02/2006",
    "LastUpdateDate": "08/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROGERS",
    "AuthorizedOfficialFirstName": "MARY",
    "AuthorizedOfficialMiddleName": "E.",
    "AuthorizedOfficialTitle": "CO-OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSYD",
    "AuthorizedOfficialTelephoneNumber": "303-931-7444",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103G00000X",
          "TaxonomyName": "Clinical Neuropsychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.