Candor Mind and Body

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CANDOR MIND AND BODY

Practice address

3401 Quebec St Ste 4500
Denver, CO 80207-2310

Phone

(303) 459-5909

Fax

(720) 229-1079

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Busayo Bose Obigbesan, NPNPI 1497116545

Title

Psychiatric Nurse Practitioner

Phone

(303) 902-3512

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Busayo Bose Obigbesan, MBR

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
  • NPI 1497116545
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1154085355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N IRVINGTON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800181676",
            "telephone_number": "303-902-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 4500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072310",
            "telephone_number": "303-459-5909",
            "fax_number": "720-229-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDOR MIND AND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "OBIGBESAN",
        "authorized_official_first_name": "BUSAYO",
        "authorized_official_middle_name": "BOSE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "303-902-3512",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tebra",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "3401 Quebec St Ste 4500",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802072310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cancer Centers of Colorado, LLC
• Cancer Centers of Colorado, LLC
• Cancer Centers of Colorado, LLC
• Ryan Candee, PA-C
• Candid Colorado, PLLC
• Jesus Angel Canez
• Anthony J Canfield, M.D.
• Heath D. Canfield, D.O.
• Kristen Lynn Canfield, LCSW
• Patricia E Canfield, MD

• Psychiatric/Mental Health Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.