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

Poudre Valley Medical Group, LLC

Organization Psychiatry Physician · NPI 1538775812

Poudre Valley Medical Group, LLC is a Psychiatry Physician in Longmont, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1760 E Ken Pratt Blvd Ste 305
Longmont, CO 80504-5311
Phone: (720) 718-8310
Fax: (720) 718-0363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1538775812
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 718-8310
Other names Uchealth Medical Group; Uchealth Interventional Psychiatry Clinic - Longmont
NPI enumeratedSeptember 22, 2020
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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