MEDICARE: HIGH PLAINS PSYCHIATRIC SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1184438665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH PLAINS PSYCHIATRIC SERVICES INC

Provider Business Mailing Address
First Line	:	1650 FILLMORE ST APT 1006
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-1590
Country	:	US
Telephone Number	:	832-638-8872
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 FILLMORE ST APT 1006
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-1590
Country	:	US
Telephone Number	:	832-638-8872
Fax Number	:

Authorized Official
Title or Position	:	AO
Name	:	JUDY KANTA PATE
Credential	:
Telephone Number	:	832-638-8872

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	12/10/2025

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