Individual provider Active NPI

Naeela Majid Chaudry, PH.D

  • Clinical Psychologist
  • Centennial, CO
National Provider Identifier
1114090768
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0003717 Issued in CO
Practice address
9085 E Mineral Cir Ste 280
Centennial, CO 80112-3400
Phone
(580) 916-1825
Fax
(720) 368-5044
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32660 TX
Clinical Psychologist 103TC0700X 0003717 CO
Clinical Psychologist 103TC0700X PSY.0003717 CO Primary

Addresses

Primary practice location

9085 E Mineral Cir Ste 280
Centennial, CO 80112-3400

Mailing address

6337 S Ider Way
Aurora, CO 80016-4280
Phone (580) 916-1825

Other identifiers 2

IdentifierTypeStateIssuer
58334360MedicaidCO
200091820 AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bbmhcot@gmail.com

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0003717COMDClinical Psychologist
32660TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Building Bridges in Mental Health Clinical CurrentSince Jul 31, 2022 Accepting new patients
Naeela Chaudry PH.D., PA Clinical Past Accepting new patients

Locations

9085 E Mineral Cir
Ste 280
Centennial, CO 80112
Phone (580) 916-1825

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1114090768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 S IDER WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800164280",
            "telephone_number": "580-916-1825",
            "fax_number": "720-368-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR STE 280",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123400",
            "telephone_number": "580-916-1825",
            "fax_number": "720-368-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDRY",
        "first_name": "NAEELA",
        "middle_name": "MAJID",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32660",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0003717",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0003717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58334360",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200091820 A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bbmhcot@gmail.com",
            "affiliation": "N",
            "address_1": "9085 E Mineral Cir Ste 280",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801123400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.