Individual provider Active NPI

Faiz Faseehuddin, M.D.

  • Psychiatry Physician
  • Boulder, CO
National Provider Identifier
1407147259
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0076566 Issued in CO
Practice address
777 29TH St Ste 500
Boulder, CO 80303-2357
Phone
(970) 310-3406
NPI assigned
Apr 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DR.0076566 CO Primary
Psychiatry Physician 2084P0800X 54637 TN

Addresses

Primary practice location

777 29TH St Ste 500
Boulder, CO 80303-2357

Mailing address

777 29TH St Ste 500
Boulder, CO 80303-2357
Phone (970) 310-3406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201001590 CO Practitioner - Psychiatry 2062659790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

215 W Oak St
FL 4
Fort Collins, CO 80521-2734

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

9026 E Colorado Cir
Denver, CO 80231-2924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0076566COMDPsychiatry Physician
54637TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Psychiatry Current Accepting new patients
Heart Centered Counseling, PC Psychiatry CurrentSince Nov 15, 2025 Accepting new patients
Heart Centered Counseling, PC Psychiatry CurrentSince Nov 15, 2025 Accepting new patients

Locations

777 29th St
Ste 500
Boulder, CO 80303
Phone (720) 520-7475

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Organizations & group practices 3

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1407147259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 29TH ST STE 500",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032357",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 29TH ST STE 500",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032357",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASEEHUDDIN",
        "first_name": "FAIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0076566",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "54637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.