Individual provider Active NPI

Maria Elsa Canyon Meyer, PSYD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1720597479
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0005954 Issued in CO
Practice address
950 N Logan St Ste 101
Denver, CO 80203-3186
Phone
(303) 834-1026
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X NM
Clinical Psychologist 103TC0700X 0005954 CO Primary

Addresses

Primary practice location

950 N Logan St Ste 101
Denver, CO 80203-3186

Mailing address

950 N Logan St Ste 101
Denver, CO 80203-3186
Phone (303) 834-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0005954COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Badwan Psychology PLLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

950 N Logan St
Ste 101
Denver, CO 80203
Phone (303) 476-8165

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1720597479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N LOGAN ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033186",
            "telephone_number": "303-834-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N LOGAN ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033186",
            "telephone_number": "303-834-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANYON MEYER",
        "first_name": "MARIA",
        "middle_name": "ELSA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-11-07",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0005954",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.