Organization Active NPI

Beverly a. Brauer, PSYD, Inc.

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1487806972
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1316 Issued in CO
Legal business name
BEVERLY A. BRAUER, PSYD, INC.
Practice address
12101 E 2ND Ave Ste 110
Aurora, CO 80011-8328
Phone
(303) 754-7086
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Dr. Beverly A Brauer, PSYDNPI 1184652182
Title
Ceo
Phone
(303) 754-7086

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1316 CO Primary

Addresses

Primary practice location

12101 E 2ND Ave Ste 110
Aurora, CO 80011-8328

Mailing address

12101 E 2ND Ave Ste 100
Aurora, CO 80011-8328
Phone (303) 754-7086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090202000622 CO Part B Supplier - Clinic/Group Practice 0840354072 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

12101 E 2nd Ave
Ste 100
Aurora, CO 80011
Phone (303) 503-4776

12101 E 2nd Ave
Ste 110
Aurora, CO 80011
Phone (303) 754-7086

8700 E Jefferson Ave
Unit 370962
Denver, CO 80237

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1487806972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 E 2ND AVE STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118328",
            "telephone_number": "303-754-7086",
            "fax_number": "303-695-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 E 2ND AVE STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118328",
            "telephone_number": "303-754-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY A. BRAUER, PSYD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "BRAUER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-754-7086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.