=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679271936
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AGAPE PSYCHIATRIC CARE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2023
-----------------------------------------------------
Last Update Date | 07/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2101 S BLACKHAWK ST STE 240
-----------------------------------------------------
City | AURORA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80014-1475
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-348-3179
-----------------------------------------------------
Fax | 520-337-2631
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2101 S BLACKHAWK ST STE 240
-----------------------------------------------------
City | AURORA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80014-1475
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-348-3179
-----------------------------------------------------
Fax | 520-337-3115
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ROBYN GOLDSMITH
-----------------------------------------------------
Credential | PMHNP-BC
-----------------------------------------------------
Telephone | 520-348-3179
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------