NPIMap

Organization Active NPI

Happy Minds LLC

  • Psychiatry Physician
  • Lone Tree, CO
National Provider Identifier
1508246943
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR51265 Issued in CO
Legal business name
HAPPY MINDS LLC
Practice address
9220 Teddy LN Ste 1600
Lone Tree, CO 80124-6756
Phone
(303) 305-7785
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Khaja Najibuddin ChistyNPI 1073785325
Title
President
Phone
(720) 224-6472

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 MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X DR51265 CO Primary

Addresses

Primary practice location

9220 Teddy LN Ste 1600
Lone Tree, CO 80124-6756

Mailing address

9220 Teddy LN Ste 1600
Lone Tree, CO 80124-6756
Phone (303) 305-7785

Other practice location 1

1700 W 100th ave
Ste 101
Thornton, CO 80260-8065
Phone (720) 515-9112

Other identifiers 1

IdentifierTypeStateIssuer
DR.0051265OtherCOLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160602002327 CO Part B Supplier - Clinic/Group Practice 3678863644 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

9220 Teddy Ln
Ste 1600
Lone Tree, CO 80124
Phone (303) 305-7785

17395 W Bluemound Rd
Ste D1
Brookfield, WI 53045
Phone (303) 305-7785

Practitioners & affiliated clinicians

Practitioners 9

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": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1508246943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 TEDDY LN STE 1600",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246756",
            "telephone_number": "303-305-7785",
            "fax_number": "786-930-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 TEDDY LN STE 1600",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246756",
            "telephone_number": "303-305-7785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W 100th ave",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802608065",
            "country_code": "US",
            "telephone_number": "720-515-9112",
            "fax_number": "888-958-5968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAPPY MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "CHISTY",
        "authorized_official_first_name": "KHAJA",
        "authorized_official_middle_name": "NAJIBUDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-224-6472"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR51265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DR.0051265",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.