Individual provider Active NPI

Michael Berry Chamberlain

  • Psychiatry Physician
  • Louisville, CO
National Provider Identifier
1609339506
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0068889 Issued in CO
Practice address
2255 S 88TH St
Louisville, CO 80027-9716
Phone
(303) 673-9990
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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.0068889 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2255 S 88TH St
Louisville, CO 80027-9716

Mailing address

2255 S 88TH St
Louisville, CO 80027-9716
Phone (303) 673-9990

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831000074 CO Practitioner - Psychiatry 7315270063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Chicago, Pritzker School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Centennial Peaks LLCGroup PAC ID 6204987621, 5 clinicians

Practice addresses (Care Compare)

2255 S 88TH St
Louisville, CO 80027-9716
Phone (303) 673-9990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0068889COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Centennial Peaks, LLC CurrentSince Jul 12, 2023 Accepting new patients
Uhs of Centennial Peaks LLC CurrentSince Jul 12, 2023 Accepting new patients

Locations

2255 S 88th St
Louisville, CO 80027
Phone (303) 666-2095

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1609339506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279716",
            "telephone_number": "303-673-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279716",
            "telephone_number": "303-673-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "MICHAEL",
        "middle_name": "BERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0068889",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.