Organization
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Active
Other names
Uptown Psych of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STACEY BRONSON (DIR GEN MGMT)
(978) 222-3121
Entity
Organization
Contact information
Practice address
4753 N BROADWAY ST STE 403, CHICAGO, IL 60640-7910
(704) 506-6267
Mailing address
67 BURNSIDE AVE, EAST HARTFORD, CT 06108-3408
(704) 506-6267
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
08/07/2026
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