OrganizationActive
Icn PLLC
NPI 1487192076 · Clinical Neuropsychologist · Boulder, CO
Icn PLLC is a Clinical Neuropsychologist organization in Boulder, CO (NPI 1487192076).
Provider details
- NPI number
- 1487192076
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bobby Gant, President(720) 552-2995
- License
- 2998 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs 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
255 Canyon Blvd Ste 300-F
Boulder, CO 80302-4979
Phone: (972) 570-8200
Fax: (972) 402-5621
Street-level locationGet directions
Mailing address
5455 Lee Hill Dr
Boulder, CO 80302-9305
Other names (DBA / former)
- Doing business as
- Institute for Clinical Neurosciences
Registry dates
- Enumerated
- 2017-02-03
- Last updated
- 2019-01-02
Frequently asked questions
- What is Icn PLLC's NPI number?
- Icn PLLC's National Provider Identifier (NPI) is 1487192076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icn PLLC?
- Icn PLLC is classified in the NPPES registry as Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Icn PLLC located?
- Icn PLLC's practice location on file with NPPES is 255 Canyon Blvd Ste 300-F, Boulder, CO 80302-4979.
- What is Icn PLLC's phone number?
- The practice phone number listed in the NPPES registry for Icn PLLC is (972) 570-8200.
- Who is the authorized official for Icn PLLC?
- The authorized official listed on Icn PLLC's NPPES record is Bobby Gant, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icn PLLC's NPI active?
- Yes — Icn PLLC's NPI (1487192076) is active in the NPPES registry as of the last update on 2019-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.