Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountain States Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1053238584

Mountain States Psychiatry PLLC provides Psychiatric/Mental Health Nurse Practitioner services in Boulder, Colorado. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2299 Pearl St Ste 300
Boulder, CO 80302-4673
Phone: (970) 602-4222
Fax: (720) 684-0656
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

Record details

NPI number1053238584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chanise Christopher — Owner · (970) 602-4222
Other names Mountain States Psychiatry
NPI enumeratedJuly 6, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026
Mailing address4845 Pearl East Cir, Suite 118 Pmb 934664, Boulder, CO 80301-6112

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