Individual provider Active NPI

Brian Beaumund, PSYD

  • Psychologist
  • Arvada, CO
National Provider Identifier
1851791214
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4397 Issued in CO
Practice address
5738 Olde Wadsworth Blvd
Arvada, CO 80002-2535
Phone
(720) 230-6863
NPI assigned
Sep 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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
Psychologist 103T00000X 4397 CO Primary

Addresses

Primary practice location

5738 Olde Wadsworth Blvd
Arvada, CO 80002-2535

Mailing address

5738 Olde Wadsworth Blvd
Arvada, CO 80002-2535
Phone (720) 230-6863

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
4397COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Psychological Services Current Accepting new patients

Locations

5738 Olde Wadsworth Blvd
Arvada, CO 80002
Phone (720) 230-6863

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1851791214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 OLDE WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022535",
            "telephone_number": "720-230-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 OLDE WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022535",
            "telephone_number": "720-230-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUMUND",
        "first_name": "BRIAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "4397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.