Individual provider Active NPI

Nauman Hanif Taj, M.D

  • Psychiatry Physician
  • Fort Collins, CO
National Provider Identifier
1942516539
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0061588 Issued in CO
Practice address
Mind Over Matter Psychotherapeutics,PLLC
608 E Harmony Rd # 302
Fort Collins, CO 80525-7020
Phone
(307) 773-8237
Fax
(307) 773-8013
NPI assigned
Aug 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 76894 MN
Psychiatry Physician 2084P0800X 13227C WY
Psychiatry Physician 2084P0800X DR.0061588 CO Primary

Addresses

Primary practice location

Mind Over Matter Psychotherapeutics,PLLC
608 E Harmony Rd # 302
Fort Collins, CO 80525-7020

Mailing address

Mind Over Matter Psychotherapeutics,PLLC
608 E Harmony Rd # 302
Fort Collins, CO 80525-7020
Phone (307) 200-7383

Other practice location 1

502 E 2nd St
Duluth, MN 55805-1913
Phone (218) 786-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO, MS, AR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20141204000926 NE Practitioner - Psychiatry 1052633989 Reassigns benefits to 1 organization
I20190103001214 CO Practitioner - PsychiatryPractitioner - Neurology 1052633989 Reassigns benefits to 2 organizations
I20200804000044 MS Practitioner - Psychiatry 1052633989 Reassigns benefits to 1 organization
I20250227000741 AR Practitioner - Psychiatry 1052633989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

601 W Maple Ave
Springdale, AR 72764-5374

608 E Harmony Rd
Suite 302
Fort Collins, CO 80525-3210
Phone (970) 616-2666

609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 757-8001

Hospital & facility affiliations

  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Jan 1, 2025 Accepting new patients
Uhs of Centennial Peaks, LLC CurrentSince Mar 19, 2022 Accepting new patients
Northwest Physicians LLC CurrentSince Jan 1, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Psychiatry CurrentSince Apr 8, 2018 Accepting new patients
TBD Acquisition II LLC Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
TBD Acquisition II, LLC CurrentSince Jul 1, 2020 Accepting new patients
TBD Acquisition II LLC Current Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Uhs of Centennial Peaks LLC CurrentSince Mar 19, 2022 Accepting new patients
Northwest Arkansas Hospitals, LLC Past Accepting new patients

Locations

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

2255 S 88th St
Louisville, CO 80027
Phone (303) 666-2095

11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

601 W Leota St
Ste 500
North Platte, NE 69101
Phone (308) 696-7251

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1942516539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC",
            "address_2": "608 E HARMONY RD # 302",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257020",
            "telephone_number": "307-200-7383",
            "fax_number": "970-233-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC",
            "address_2": "608 E HARMONY RD # 302",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257020",
            "telephone_number": "307-773-8237",
            "fax_number": "307-773-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051913",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAJ",
        "first_name": "NAUMAN",
        "middle_name": "HANIF",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "76894",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "13227C",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0061588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.