Active NPI
Anne Marie O'Melia, MD
- Child & Adolescent Psychiatry Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- CDRH0054342
- Practice address
- 8199 E 1St Ave
Denver, CO 80230-7163 - Phone
- (720) 370-8260
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 346254-1205 | UT | |
| Pediatrics Physician | 208000000X | 35091989 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD61026284 | WA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036146973 | IL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | D0088583 | MD | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | CDRH0054342 | CO | Primary |
Addresses
Primary practice location
8199 E 1St Ave
Denver, CO 80230-7163
Mailing address
7351 E Lowry Blvd Ste 200
Denver, CO 80230-6083
Phone (720) 214-4623
Other practice location 1
7351 E Lowry Blvd Ste 200
Denver, CO 80230-6083
Phone (720) 214-4623
Other practice location 2
333 N Michigan Ave Ste 1900
Chicago, IL 60601-3994
Phone (312) 540-9955
Other practice location 3
3805 Edwards Rd Ste 400
Cincinnati, OH 45209-1940
Phone (312) 540-9955
Other practice location 4
901 Boren Ave Ste 8021800
Seattle, WA 98104-3595
Phone (425) 326-5300
Other practice location 5
6535 N Charles St Ste 300
Towson, MD 21204-5824
Phone (410) 427-3910
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036146973 | Other | IL | STATE MEDICAL LICENSE |
| 3462541205 | Other | UT | STATE MEDICAL LICENSE |
| D0088583 | Other | MD | STATE MEDICAL LICENSE |
| MD61026284 | Other | WA | STATE MEDICAL LICENSE |
| CDRH.0054342 | Other | CO | STATE LICENSE |
| 35091989 | Other | OH | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Kentucky College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2900 N Lake Shore Dr
Chicago, IL 60657-5640
701 Biesterfield Rd
Suite 4D
Elk Grove Village, IL 60007-3309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDRH0054342 | CO | MD | Child & Adolescent Psychiatry Physician |
| 036146973 | IL | MD | Child & Adolescent Psychiatry Physician |
| D0088583 | MD | MD | Child & Adolescent Psychiatry Physician |
| 346254-1205 | UT | MD | Child & Adolescent Psychiatry Physician |
| MD61026284 | WA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Healthcare Services | Current | Accepting new patients | |
| Presence Healthcare Services | Current | Accepting new patients | |
| New Life Centers | Past | Accepting new patients | |
| New Life Centers, LLC | Past | Accepting new patients | |
| Eating Recovery Center of Ohio, LLC | Past | Accepting new patients |
Locations
62311 Collection Ctr Dr
Chicago, IL 60693
Organizations & group practices 5
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.
-
dba Presence Medical Group
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
-
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1043748338
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cincinnati, OH
- NPI 1366830499
-
- Special Hospital
- Salt Lake City, UT
- NPI 1649470113
-
- Mental Illness Community Based Residential Treatment Facility
- Salt Lake City, UT
- NPI 1477576684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1619022738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7351 E LOWRY BLVD STE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802306083",
"telephone_number": "720-214-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8199 E 1ST AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802307163",
"telephone_number": "720-370-8260"
}
],
"practiceLocations": [
{
"address_1": "7351 E Lowry Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802306083",
"country_code": "US",
"telephone_number": "720-214-4623",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 N Michigan Ave Ste 1900",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606013994",
"country_code": "US",
"telephone_number": "312-540-9955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3805 Edwards Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452091940",
"country_code": "US",
"telephone_number": "312-540-9955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Boren Ave Ste 8021800",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043595",
"country_code": "US",
"telephone_number": "425-326-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6535 N Charles St Ste 300",
"address_purpose": "LOCATION",
"city": "Towson",
"state": "MD",
"postal_code": "212045824",
"country_code": "US",
"telephone_number": "410-427-3910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'MELIA",
"first_name": "ANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "UT",
"license": "346254-1205",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35091989",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD61026284",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036146973",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D0088583",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "CDRH0054342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "036146973",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "3462541205",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "D0088583",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "MD61026284",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CDRH.0054342",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "35091989",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.