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NPI Code Detail

MEDICARE: COMPASS COLORADO HEALTHCARE SYSTEMS, INC.

MEDICARE: COMPASS COLORADO HEALTHCARE SYSTEMS, 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
1101YM0800XMental Health Counselor
2103TC0700XClinical Psychologist
31041C0700XClinical Social Worker
4207Q00000XFamily Medicine Physician
5207R00000XInternal Medicine Physician
62084A0401XAddiction Medicine (Psychiatry & Neurology) Physician
7363A00000XPhysician Assistant
8363LF0000XFamily Nurse Practitioner
9363LP0808XPsychiatric/Mental Health Nurse Practitioner
102084P0804XChild & Adolescent Psychiatry Physician
11208D00000XGeneral Practice Physician
122084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1649451956
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASS COLORADO HEALTHCARE SYSTEMS, INC.
Provider Business Mailing Address
First Line : 1065 NE 125TH ST STE 300
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5833
Country : US
Telephone Number : 888-852-6672
Fax Number : 305-891-4228
Provider Business Practice Location Address
First Line : 1065 NE 125TH ST STE 300
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5833
Country : US
Telephone Number : 888-852-6672
Fax Number : 305-891-4228
Authorized Official
Title or Position : CEO/PRESIDENT
Name : DR. SCOTT SEGAL
Credential : M.D.
Telephone Number : 888-852-6672
Provider Enumeration Date : 11/15/2007
Last Update Date : 07/06/2020

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