Icn Pllc
Icn Pllc is a healthcare organization registered as Clinical Neuropsychologist in Boulder, CO, holding Type 2 (organization) NPI 1487192076 since 2017. The authorized official on file is Bobby Gant, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487192076 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Icn Pllc |
| Other name | <Unavail> |
| Practice address | 255 CANYON BLVD STE 300-F, Boulder, CO, 80302 |
| Phone | 9725708200 |
| Fax | 9724025621 |
| Enumeration date | 2017-02-03 |
| Last updated in NPPES | 2019-01-02 |
Authorized official
| Name | Bobby Gant |
|---|---|
| Title | President |
| Phone | 7205522995 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | Primary | 2998 | CO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000167953 | Medicaid | CO | — |
Copy-ready billing details
Provider: Icn Pllc NPI: 1487192076 Taxonomy: 103G00000X (Clinical Neuropsychologist) Address: 255 CANYON BLVD STE 300-F, Boulder, CO, 80302
Verify this record
Cross-check NPI 1487192076 against the authoritative CMS record: view Icn Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Icn Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-01-02.