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

Sprouts Psychiatry

Organization Physician Assistant · NPI 1962245126

Sprouts Psychiatry is a Physician Assistant in Broomfield, Colorado. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

561 W 173rd Pl
Broomfield, CO 80023-5202
Phone: (860) 961-8406
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962245126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sage Thibdeau — Psychiatric Pa · (720) 618-7098
NPI enumeratedJune 17, 2024
Last updated in NPPESSeptember 29, 2024
Certification dateSeptember 29, 2024
Mailing address561 W 173rd Pl, Broomfield, CO 80023-5202

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