Kadkhodaian Behavioral Health Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KADKHODAIAN BEHAVIORAL HEALTH CENTER

Practice address

455 Palmer St
Delta, CO 81416-1737

Phone

(970) 699-5221

NPI assigned

Oct 16, 2024

Last updated

Jan 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ramin H Kadkhodaian, PSYDNPI 1023260403

Title

Ceo

Phone

(847) 489-1309

Specialties & licenses 4

Addresses

Other names 1

• KBH Center Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Kadkhodaian Behavioral Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kadkhodaian Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delta, CO
  • NPI 1528983467
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kadkhodaian Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delta, CO
  • NPI 1528983467
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramin H Kadkhodaian, MA, PSYD, LCPC

  • Professional Counselor
  • Delta, CO
  • NPI 1023260403
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736035200000",
    "number": "1538989256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PALMER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161737",
            "telephone_number": "970-699-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PALMER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161737",
            "telephone_number": "970-699-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADKHODAIAN BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A",
        "authorized_official_last_name": "KADKHODAIAN",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-489-1309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KBH Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KBH Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michele Johnson, CCC-SLP
• Edith D Johnston, LPC
• Chanda L Jones
• Aimee Jurjevich
• Kadkhodaian Behavioral Health Center
• Ramin H Kadkhodaian, MA, PSYD, LCPC
• Desiree Karlen
• David Kasarda, MD
• Courtney N Keller
• Ken Kellow III, PHARM.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Delta, CO
• Providers in Delta, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; 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.