OrganizationActive
Emergence Psychedelic Therapy, LLC
NPI 1407723497 · Clinic/Center · Boulder, CO
Emergence Psychedelic Therapy, LLC is a Clinic/Center organization in Boulder, CO (NPI 1407723497).
Provider details
- NPI number
- 1407723497
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacy Green, Owner(720) 442-3565
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
825 S Broadway St Ste 100
Boulder, CO 80305-5932
Phone: (303) 578-8845
Street-level locationGet directions
Mailing address
825 S Broadway St Ste 100
Boulder, CO 80305-5932
Registry dates
- Enumerated
- 2025-10-22
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Frequently asked questions
- What is Emergence Psychedelic Therapy, LLC's NPI number?
- Emergence Psychedelic Therapy, LLC's National Provider Identifier (NPI) is 1407723497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emergence Psychedelic Therapy, LLC?
- Emergence Psychedelic Therapy, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Emergence Psychedelic Therapy, LLC located?
- Emergence Psychedelic Therapy, LLC's practice location on file with NPPES is 825 S Broadway St Ste 100, Boulder, CO 80305-5932.
- What is Emergence Psychedelic Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Emergence Psychedelic Therapy, LLC is (303) 578-8845.
- Who is the authorized official for Emergence Psychedelic Therapy, LLC?
- The authorized official listed on Emergence Psychedelic Therapy, LLC's NPPES record is Stacy Green, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emergence Psychedelic Therapy, LLC's NPI active?
- Yes — Emergence Psychedelic Therapy, LLC's NPI (1407723497) is active in the NPPES registry as of the last update on 2026-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.