Individual provider Active NPI

Christopher Jay Peavey, PSYD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1306194048
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0004545 Issued in CO
Practice address
3201 S Tamarac Dr
Denver, CO 80231-4360
Phone
(720) 248-4598
NPI assigned
Aug 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0004545 CO Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

3201 S Tamarac Dr
Denver, CO 80231-4360

Mailing address

3201 S Tamarac Dr
Denver, CO 80231-4360
Phone (720) 248-4598

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
I20170123002908 CO Practitioner - Clinical Psychologist 7012299274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of ColoradoGroup PAC ID 6305734203, 10 clinicians

Practice addresses (Care Compare)

3201 S Tamarac Dr
Denver, CO 80231-4360
Phone (720) 722-4496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004545COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Colorado CurrentSince Oct 7, 2019 Accepting new patients
Jewish Family Service of Colorado CurrentSince Oct 7, 2019 Accepting new patients

Locations

3201 S Tamarac Dr
Denver, CO 80231
Phone (303) 597-5000

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1306194048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S TAMARAC DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314360",
            "telephone_number": "720-248-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S TAMARAC DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314360",
            "telephone_number": "720-248-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0004545",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.