Individual provider Active NPI

Matthew Soden

  • Child & Adolescent Psychiatry Physician
  • Aurora, CO
National Provider Identifier
1013258631
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
CDR.0001809 Issued in CO
Practice address
2851 S Parker Rd Ste 1062
Aurora, CO 80014-2731
Phone
(720) 593-6711
Fax
(720) 706-1393
NPI assigned
Mar 6, 2013
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X CDR.0001809 CO
Child & Adolescent Psychiatry Physician 2084P0804X 5315234608 MI
Child & Adolescent Psychiatry Physician 2084P0804X MD60479306 WA
Child & Adolescent Psychiatry Physician 2084P0804X CDR.0001809 CO Primary

Addresses

Primary practice location

2851 S Parker Rd Ste 1062
Aurora, CO 80014-2731

Mailing address

2851 S Parker Rd Ste 1062
Aurora, CO 80014-2731
Phone (720) 593-6711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220621001026 MI Practitioner - Psychiatry 0941595607 Reassigns benefits to 1 organization
I20231114002301 MT Practitioner - Psychiatry 0941595607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDR.0001809COMDPsychiatry Physician
5315234608MIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Family Psychiatry Psychiatry CurrentSince Mar 30, 2025 Accepting new patients
Rocky Boy Health Center CurrentSince Nov 1, 2023 Accepting new patients
Huron County Community Mental Health Authority CurrentSince Apr 28, 2025 Accepting new patients

Locations

2851 S Parker Rd
Ste 1062
Aurora, CO 80014
Phone (720) 593-6711

501 S Cherry St
Ste 1100
Denver, CO 80246
Phone (404) 227-4864

1375 R Dale Wertz Dr
Bad Axe, MI 48413
Phone (989) 269-9293

6850 Upper Box Elder Rd
Box Elder, MT 59521
Phone (406) 395-4374

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1013258631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S PARKER RD STE 1062",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142731",
            "telephone_number": "720-593-6711",
            "fax_number": "720-706-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S PARKER RD STE 1062",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142731",
            "telephone_number": "720-593-6711",
            "fax_number": "720-706-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODEN",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "CDR.0001809",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "5315234608",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD60479306",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "CDR.0001809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.