NPI Code Details Logo

NPI 1457291866

NPI 1457291866 : MINDHELM LLC : BOULDER, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457291866
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MINDHELM LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/30/2026
-----------------------------------------------------
    Last Update Date     |    04/02/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    100 ARAPAHOE AVE STE 12 
-----------------------------------------------------
    City                 |    BOULDER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80302-5862
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    303-720-7194
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4845 PEARL EAST CIR STE 118 PMB 131580
-----------------------------------------------------
    City                 |    BOULDER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80301-6112
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     ALEX  KIRK 
-----------------------------------------------------
    Credential           |    PHD
-----------------------------------------------------
    Telephone            |    303-720-7194
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

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