Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cirque Meadow Psychiatry

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1578184230

Cirque Meadow Psychiatry is a Psychiatric/Mental Health Nurse Practitioner in Fort Collins, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Partly verified

Some contact details are missing from the federal record.

Cirque Meadow Psychiatry 211 West Myrte St Ste 207
Fort Collins, CO 80521-2971
Phone: (360) 621-1409
Fax: (848) 213-0217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0807X

Record details

NPI number1578184230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Mack — Owner · (360) 621-1409
Other names Cirque Meadow Psychiatry Virginia Caryl Mack Sole Mbr; Cirque Meadow Psychiatry Virginia Caryl Mack Sole Mbr
NPI enumeratedMay 4, 2020
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020
Mailing address415 S Washington Ave, Fort Collins, CO 80521-2571

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