Mountain Psychiatric, LLC
NPI 1720404841 · Psychiatry Physician · Roanoke, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain Psychiatric, LLC is a Psychiatry Physician organization in Roanoke, VA (NPI 1720404841).
Provider details
- NPI number
- 1720404841
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Colorado, Credentialing(832) 494-6448
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-03-13
- Last updated
- 2014-03-19
Frequently asked questions
- What is Mountain Psychiatric, LLC's NPI number?
- Mountain Psychiatric, LLC's National Provider Identifier (NPI) is 1720404841, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Psychiatric, LLC?
- Mountain Psychiatric, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain Psychiatric, LLC located?
- Mountain Psychiatric, LLC's practice location on file with NPPES is 5115 Bernard Dr, Roanoke, VA 24018-4357.
- What is Mountain Psychiatric, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain Psychiatric, LLC is (540) 728-1570.
- Does Mountain Psychiatric, LLC accept Medicare?
- Mountain Psychiatric, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain Psychiatric, LLC?
- The authorized official listed on Mountain Psychiatric, LLC's NPPES record is Jennifer Colorado, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Psychiatric, LLC's NPI active?
- Yes — Mountain Psychiatric, LLC's NPI (1720404841) is active in the NPPES registry as of the last update on 2014-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.