Active NPI
Paige Leigh Baker Braxton, PSYD
- Clinical Psychologist
- Edwards, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0005416
- Practice address
- 439 Edwards Access Rd
Edwards, CO 81632-5634 - Phone
- (970) 445-2489
- NPI assigned
- Dec 23, 2016
- Last updated
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0005416 | CO | Primary |
| Clinical Psychologist | 103TC0700X | 071.009442 | IL |
Addresses
Primary practice location
439 Edwards Access Rd
Edwards, CO 81632-5634
Mailing address
PO Box 4330
Avon, CO 81620-4330
Phone (970) 926-6340
Other practice location 1
1 E Superior St
Suite 306
Chicago, IL 60611-2507
Phone (312) 789-4532
Other practice location 2
20 N Clark St Ste 3600
Chicago, IL 60602-5088
Phone (239) 450-9207
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009442 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Valley Mental Health | Current | Accepting new patients | |
| Eagle Valley Mental Health | Current | Accepting new patients | |
| Leigh Kim Consulting, LLC | Clinical | Current | Accepting new patients |
| Eagle Valley Mental Health | Current | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients |
Locations
439 Edwards Access Rd
Edwards, CO 81632
Phone (970) 455-2489
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
20 N Clark St
Ste 3600
Chicago, IL 60602
Phone (239) 450-9207
Organizations & group practices 6
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.
-
dba Eagle Valley Behavioral Health
- Community/Behavioral Health Agency
- Edwards, CO
- NPI 1972267292
-
dba LGBTQ Psychological Services, LLC
- Clinical Psychologist
- Chicago, IL
- NPI 1336624154
-
dba Eagle Valley Behavioral Health
- Community/Behavioral Health Agency
- Dillon, CO
- NPI 1063183572
-
dba EVBH at Vail Health Hospital
- Community/Behavioral Health Agency
- Vail, CO
- NPI 1063210946
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1306048632
-
- Health Educator
- Chicago, IL
- NPI 1811824121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1952846255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4330",
"city": "AVON",
"state": "CO",
"postal_code": "816204330",
"telephone_number": "970-926-6340",
"fax_number": "970-926-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 EDWARDS ACCESS RD",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816325634",
"telephone_number": "970-445-2489"
}
],
"practiceLocations": [
{
"address_1": "1 E Superior St",
"address_2": "Suite 306",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112507",
"country_code": "US",
"telephone_number": "312-789-4532",
"fax_number": "312-754-9402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 N Clark St Ste 3600",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606025088",
"country_code": "US",
"telephone_number": "239-450-9207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAXTON",
"first_name": "PAIGE",
"middle_name": "LEIGH BAKER",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-23",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0005416",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009442",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.