Optum Behavioral Care of Colorado, P.C.
NPI 1306616735ActiveOrganization· Psychologist, Clinical· Plymouth, MI
Psychologist, Clinical in Plymouth, Michigan, registered in NPPES in January 2024. The authorized official on file is Amanda Stacey Bronson, Dir Gen Mgmt. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306616735 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2024 |
| Last updated in NPPES | Aug 6, 2026 |
| Certified by provider | Aug 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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