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NPI Code Detail

MEDICARE: ELDORADO PSYCHIATRY

MEDICARE: ELDORADO PSYCHIATRY
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1427822212
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDORADO PSYCHIATRY
Provider Business Mailing Address
First Line : 2650 FREMONT ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-2912
Country : US
Telephone Number : 908-227-2515
Fax Number :
Provider Business Practice Location Address
First Line : 1942 BROADWAY STE 314C
Second Line :
City : BOULDER
State : CO
Zip : 80302-5233
Country : US
Telephone Number : 908-227-2515
Fax Number :
Authorized Official
Title or Position : PSYCHIATRIST
Name : ANNA SHAPIRO
Credential : MD
Telephone Number : 908-227-2515
Provider Enumeration Date : 11/13/2023
Last Update Date : 06/16/2026

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Directions to “ELDORADO PSYCHIATRY ” Practice Location

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