Active NPI
Charlie Health Medical, P.a.
- Child & Adolescent Psychiatry Physician
- Commerce City, CO
National Provider Identifier
1962316182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- CHARLIE HEALTH MEDICAL, P.A.
- Practice address
- 13659 E 104TH Ave Unit 650
Commerce City, CO 80022-9477 - Phone
- (406) 361-3146
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charie Bryant
- Title
- VP, Revenue Cycle Management
- Phone
- (986) 206-0414
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | NU | ||
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | ||
| Addiction Psychiatry Physician | 2084P0802X | NU | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU | Primary |
Addresses
Primary practice location
13659 E 104TH Ave Unit 650
Commerce City, CO 80022-9477
Mailing address
169 Madison Ave Ste 15011
New York, NY 10016-5101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1962316182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15011",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13659 E 104TH AVE UNIT 650",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800229477",
"telephone_number": "406-361-3146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLIE HEALTH MEDICAL, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "CHARIE",
"authorized_official_title_or_position": "VP, REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "986-206-0414"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.