Individual provider Active NPI

Martha Middleton Bautista-Biddle, PSYD, LP

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1679092977
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0006194 Issued in CO
Practice address
1658 York St
Denver, CO 80206-1410
Phone
(303) 935-5307
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X PSY.0006194 CO Primary

Addresses

Primary practice location

1658 York St
Denver, CO 80206-1410

Mailing address

#415, 4800 Baseline Rd Ste E104
Boulder, CO 80303
Phone (720) 340-3441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 12, 2025 through Dec 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0006194COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insights CurrentSince Oct 8, 2023 Accepting new patients
Insights CurrentSince Oct 8, 2023 Accepting new patients
Switchback Psychology, PLLC Clinical Current Accepting new patients

Locations

1800 30th St
Ste 212
Boulder, CO 80301
Phone (720) 340-3441

1658 York St
Denver, CO 80206
Phone (303) 935-5307

Organizations & group practices 3

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1679092977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#415, 4800 BASELINE RD STE E104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "720-340-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061410",
            "telephone_number": "303-935-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA-BIDDLE",
        "first_name": "MARTHA",
        "middle_name": "MIDDLETON",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.