Poudre Valley Medical Group, LLC
NPI 1063209534 · Psychiatry Physician · Pueblo, CO
Poudre Valley Medical Group, LLC is a Psychiatry Physician organization in Pueblo, CO (NPI 1063209534).
Provider details
- NPI number
- 1063209534
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Poudre Valley Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Jana Conroy, Director of Credentialing(719) 584-4767
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Uchealth Behavioral Health Clinic - Pueblo
- Doing business as
- Uchealth Medical Group
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-04-21
- Certified
- 2025-04-21
Frequently asked questions
- What is Poudre Valley Medical Group, LLC's NPI number?
- Poudre Valley Medical Group, LLC's National Provider Identifier (NPI) is 1063209534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Poudre Valley Medical Group, LLC?
- Poudre Valley Medical Group, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Poudre Valley Medical Group, LLC located?
- Poudre Valley Medical Group, LLC's practice location on file with NPPES is 56 Club Manor Dr Ste 100, Pueblo, CO 81008-1685.
- What is Poudre Valley Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Poudre Valley Medical Group, LLC is (719) 584-4767.
- Who is the authorized official for Poudre Valley Medical Group, LLC?
- The authorized official listed on Poudre Valley Medical Group, LLC's NPPES record is Jana Conroy, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Poudre Valley Medical Group, LLC's NPI active?
- Yes — Poudre Valley Medical Group, LLC's NPI (1063209534) is active in the NPPES registry as of the last update on 2025-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.