Individual provider Active NPI

Bahroze Rakeen, PHD

  • Psychologist
  • Denver, CO
National Provider Identifier
1023684057
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0006685 Issued in CO
Practice address
3055 Roslyn St Unit 100
Denver, CO 80238-3324
Phone
(720) 848-9000
NPI assigned
Jun 1, 2021
Reactivated
Aug 25, 2023
Last updated
Feb 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0006685 CO Primary

Addresses

Primary practice location

3055 Roslyn St Unit 100
Denver, CO 80238-3324

Mailing address

3055 Roslyn St Unit 100
Denver, CO 80238-3324

Other practice location 1

1022 Depot Hill Rd
Broomfield, CO 80020-1068
Phone (303) 465-2323

Other practice location 2

7403 Church Ranch Blvd Unit 107
Westminster, CO 80021-5490
Phone (720) 848-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0006685COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1023684057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 ROSLYN ST UNIT 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 ROSLYN ST UNIT 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383324",
            "telephone_number": "720-848-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 Depot Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800201068",
            "country_code": "US",
            "telephone_number": "303-465-2323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7403 Church Ranch Blvd Unit 107",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800215490",
            "country_code": "US",
            "telephone_number": "720-848-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAKEEN",
        "first_name": "BAHROZE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "deactivation_date": "2023-02-04",
        "reactivation_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "0006685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.