Individual provider Active NPI

Beverly A Brauer, PSYD

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1184652182
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1316 Issued in CO
Practice address
12101 E 2ND Ave Ste 100
Aurora, CO 80011-8328
Phone
(303) 754-7086
Fax
(303) 695-6925
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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 1316 CO Primary

Addresses

Primary practice location

12101 E 2ND Ave Ste 100
Aurora, CO 80011-8328

Mailing address

PO Box 370962
Denver, CO 80237-0962
Phone (303) 754-7086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000967 CO Practitioner - Clinical Psychologist 4385607845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12101 E 2ND Ave
Suite 110
Aurora, CO 80011-8328
Phone (303) 754-7086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1316COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly a. Brauer, PSYD, Inc. Clinical CurrentSince Dec 13, 2008 Accepting new patients

Locations

12101 E 2nd Ave
Ste 100
Aurora, CO 80011
Phone (303) 503-4776

12101 E 2nd Ave
Ste 110
Aurora, CO 80011
Phone (303) 754-7086

8700 E Jefferson Ave
Unit 370962
Denver, CO 80237

Organizations & group practices 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1184652182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370962",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802370962",
            "telephone_number": "303-754-7086",
            "fax_number": "303-367-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 E 2ND AVE STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118328",
            "telephone_number": "303-754-7086",
            "fax_number": "303-695-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.