MEDICARE: PSYCHIATRIC SERVICES OF THE ROCKIES CORPORATION

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1306772835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHIATRIC SERVICES OF THE ROCKIES CORPORATION

Provider Business Mailing Address
First Line	:	2121 MIDPOINT DR STE 202
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4341
Country	:	US
Telephone Number	:	970-632-9540
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 MIDPOINT DR STE 202
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4341
Country	:	US
Telephone Number	:	970-632-9540
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	AMY WILLIAMSON
Credential	:
Telephone Number	:	303-578-9834

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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