Sprouts Psychiatry
NPI 1962245126ActiveOrganization· Physician Assistant· Broomfield, CO
Physician Assistant in Broomfield, Colorado, registered in NPPES in June 2024. The authorized official on file is Sage Thibdeau, PA-C, Psychiatric Pa.
Overview
| NPI | 1962245126 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2024 |
| Last updated in NPPES | Sep 29, 2024 |
| Certified by provider | Sep 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant providers in Broomfield
- 1639533656
- 1821555863
- 1083662225
- 1568179653
- 1841203494
- 1801490081
- 1306233382
- 1407740194
- 1932349347
- 1245304252
- 1952852196
- 1134159361