Organization Active NPI

Brainrevive Psychiatry

  • Psychiatry Physician
  • Englewood, CO
National Provider Identifier
1205581964
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRAINREVIVE PSYCHIATRY
Practice address
4465 S Fox St
Englewood, CO 80110-5618
Phone
(720) 316-7884
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Ms. Alison Suzanne Burton, PMHNPNPI 1023673308
Title
Pmhnp
Phone
(720) 316-7884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4465 S Fox St
Englewood, CO 80110-5618

Mailing address

3531 S Logan St Ste D
Englewood, CO 80113-3700
Phone (720) 316-7884

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL COMPUTER Direct

National Provider Directory

National Provider Directory

Locations

7114 W Jefferson Ave
Ste 200
Lakewood, CO 80235
Phone (303) 578-8949

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1205581964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 S LOGAN ST STE D",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133700",
            "telephone_number": "720-316-7884",
            "fax_number": "303-362-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 S FOX ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801105618",
            "telephone_number": "720-316-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINREVIVE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "720-316-7884",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPUTER",
            "affiliation": "N",
            "endpointDescription": "ALISON@BRAINREVIVEPSYCHIATRY.COM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4465 S Fox St",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801105618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.