Individual provider Active NPI

Julia Hajibrahim, MD

  • Psychiatry Physician
  • Colorado Springs, CO
National Provider Identifier
1194942136
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0059204 Issued in CO
Practice address
5585 Erindale Dr Ste 203
Colorado Springs, CO 80918-6969
Phone
(719) 755-4190
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DR.0059204 CO Primary

Addresses

Primary practice location

5585 Erindale Dr Ste 203
Colorado Springs, CO 80918-6969

Mailing address

19368 Queens Crescent Way
Monument, CO 80132-8413
Phone (352) 318-9247

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 Medicine

State licenses

LicenseStateTypeSpecialty
DR.0059204COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jah Wellness PLLC Psychiatry Current Accepting new patients
Valmente Wellness and Healing Center, LLC Psychiatry CurrentSince May 19, 2024 Accepting new patients

Locations

5585 Erindale Dr
Ste 203
Colorado Springs, CO 80918
Phone (719) 306-4790

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1194942136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19368 QUEENS CRESCENT WAY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328413",
            "telephone_number": "352-318-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 ERINDALE DR STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186969",
            "telephone_number": "719-755-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJIBRAHIM",
        "first_name": "JULIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0059204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.