Organization Active NPI

Headway Colorado Behavioral Health Services, Inc.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1164014874
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HEADWAY COLORADO BEHAVIORAL HEALTH SERVICES, INC.
Doing business as
Headway Colorado Behavioral Health Services Inc
Practice address
205 Hudson St FL 9
New York, NY 10013-1810
Phone
(646) 453-6777
Fax
(212) 337-9841
NPI assigned
Feb 4, 2021
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Andrew Adams
Title
Ceo
Phone
(646) 453-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

205 Hudson St FL 9
New York, NY 10013-1810

Mailing address

205 Hudson St FL 9
New York, NY 10013-1810
Phone (646) 453-6777

Other names 1

  • HEADWAY COLORADO BEHAVIORAL HEALTH SERVICES INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, AL, CO, OH, LA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20240725003130 HI Part B Supplier - Clinic/Group Practice 5597201533 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20241205003096 AL Part B Supplier - Clinic/Group Practice 5597201533 Practice locations: Birmingham, AL
O20241213003717 CO Part B Supplier - Clinic/Group Practice 5597201533 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood Village, CO
O20241227000241 OH Part B Supplier - Clinic/Group Practice 5597201533 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, OH
O20250430003094 LA Part B Supplier - Clinic/Group Practice 5597201533 Receives reassigned benefits from 1 practitioner
Practice locations: La Place, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1164014874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131810",
            "telephone_number": "646-453-6777",
            "fax_number": "929-596-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131810",
            "telephone_number": "646-453-6777",
            "fax_number": "212-337-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWAY COLORADO BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-453-6777"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEADWAY COLORADO BEHAVIORAL HEALTH SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.