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 provides Psychiatry Physician services 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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