Optum Behavioral Care of Colorado, P.C.
NPI 1679343008ActiveOrganization· Psychologist, Clinical· Troy, MI
Psychologist, Clinical in Troy, 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 | 1679343008 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2024 |
| Last updated in NPPES | Aug 7, 2026 |
| Certified by provider | Aug 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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