Individual provider Active NPI

Maya Badwan

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1215306261
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0005717 Issued in CO
Practice address
950 N Logan St Ste 101
Denver, CO 80203-3186
Phone
(303) 834-1026
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 0005717 CO Primary

Addresses

Primary practice location

950 N Logan St Ste 101
Denver, CO 80203-3186

Mailing address

950 N Logan St Ste 1010
Denver, CO 80203-3163
Phone (303) 834-1026

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

State licenses

LicenseStateTypeSpecialty
0005717COMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Badwan Psychology PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

950 N Logan St
Ste 101
Denver, CO 80203
Phone (303) 355-6682

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1215306261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N LOGAN ST STE 1010",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033163",
            "telephone_number": "303-834-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N LOGAN ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033186",
            "telephone_number": "303-834-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADWAN",
        "first_name": "MAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0005717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

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