Individual provider Active NPI

Reid Hlavka, PH.D.

  • Clinical Psychologist
  • Air Force Academy, CO
National Provider Identifier
1063031979
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810007980 Issued in VA
Practice address
10TH Medical Group
4102 Pinion Drive
Air Force Academy, CO 80840
Phone
(719) 524-2273
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810007980 VA Primary

Addresses

Primary practice location

10TH Medical Group
4102 Pinion Drive
Air Force Academy, CO 80840

Mailing address

10TH Medical Group
4102 Pinion Drive
Air Force Academy, CO 80840
Phone (719) 524-2273

Other practice location 1

460 MDG, 18230 E Silvercreek Street
Medical Group South, Building 392
Buckley SFB, CO 80011
Phone (720) 847-6451

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
0810007980VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1063031979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10TH MEDICAL GROUP",
            "address_2": "4102 PINION DRIVE",
            "city": "AIR FORCE ACADEMY",
            "state": "CO",
            "postal_code": "80840",
            "telephone_number": "719-524-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10TH MEDICAL GROUP",
            "address_2": "4102 PINION DRIVE",
            "city": "AIR FORCE ACADEMY",
            "state": "CO",
            "postal_code": "80840",
            "telephone_number": "719-524-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 MDG, 18230 E Silvercreek Street",
            "address_2": "Medical Group South, Building 392",
            "address_purpose": "LOCATION",
            "city": "Buckley SFB",
            "state": "CO",
            "postal_code": "80011",
            "country_code": "US",
            "telephone_number": "720-847-6451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HLAVKA",
        "first_name": "REID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Air Force Academy, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.