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

Shadow Mountain Mental Health

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1437709987

Shadow Mountain Mental Health is a Psychiatric/Mental Health Nurse Practitioner in Boulder, Colorado. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1200 28th St Ste 200B
Boulder, CO 80303-1756
Phone: (505) 716-0958
Fax: (720) 684-5091
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 number1437709987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Miller — Psychiatric Nurse Practitioner · (505) 716-0958
NPI enumeratedSeptember 17, 2019
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address1245 Hummingbird Cir, Longmont, CO 80501-8693

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