Mitchell Berdie, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

845 Issued in CO

Practice address

1653 Montane Dr E
Golden, CO 80401-8094

Phone

(303) 358-0073

Fax

(720) 316-6620

NPI assigned

Jan 2, 2007

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD
• Denver Pain Management Associates

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood Village, CO
  • NPI 1811421183
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1851458442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 MONTANE DR E",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804018094",
            "telephone_number": "303-358-0073",
            "fax_number": "720-316-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 MONTANE DR E",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804018094",
            "telephone_number": "303-358-0073",
            "fax_number": "720-316-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1873 S Bellaire St",
            "address_2": "Ste 1215",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802224358",
            "country_code": "US",
            "telephone_number": "303-358-0073",
            "fax_number": "720-316-6620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERDIE",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "845",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7103153",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Edith Bell, MA CCC SLP
• Rhonda Marie Bellavia, PT
• Travis M Bellville, MD
• Bender Medical Group, Inc
• David Bendinelli
• Richard A. Bergeron, D.C.
• William Bergman, M.D.
• Kelly Marie Bergstedt, PMHNP
• Jasmine Reeder Berno, LPCC
• Andrea Bettini, DPT

• Clinical Psychologist in Golden, CO
• Providers in Golden, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.