MEDICARE: INSIGHT PSYCHOLOGY, LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1962366880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT PSYCHOLOGY, LLC

Provider Business Mailing Address
First Line	:	4611 PLETTNER LN STE 100
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439-7396
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4611 PLETTNER LN STE 100
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439-7396
Country	:	US
Telephone Number	:	720-443-3112
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CRYSTAL WILDES
Credential	:
Telephone Number	:	720-443-3112

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “INSIGHT PSYCHOLOGY, LLC ” Practice Location

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