JUDITH REAVEN (NPI# 1659459519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659459519 |
| Entity Type | Individual |
| Full Name | JUDITH REAVEN |
| Credential | PHD |
| Practice Address |
13121 E 17th Ave Aurora CO 80045-2535 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 3033156503 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1190 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 74629701 | 05 |
| Street Address |
13121 E 17TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902917297 | Audrey Blakeley-smith | Psychologist | 13121 E 17th Ave, Aurora, CO 80045-2535 | 2006-08-31 |
| 1124660378 | Kathleen Elizabeth Brown | Genetic Counselor, MS | 13121 E 17th Ave, Aurora, CO 80045-2535 | 2019-10-09 |
| 1265978019 | Michael G Regier | Social Worker | 13121 E 17th Ave, Mail Stop C-222, Aurora, CO 80045-2535 | 2017-01-17 |
| 1538514914 | Leighann Sremba | Genetic Counselor, MS | 13121 E 17th Ave, L-28-4th Fl Mail Stop 8400, Aurora, CO 80045-2535 | 2016-05-04 |
| 1962866376 | Brianna M Liberio | Pediatrics | 13121 E 17th Ave, Aurora, CO 80045-2535 | 2016-04-12 |
| 1023495843 | Priya Mukherjee | Pediatrics | 13121 E 17th Ave, Aurora, CO 80045-2535 | 2015-04-30 |
| 1740676162 | Lauren Castaneda | Pediatrics | 13121 E 17th Ave, Aurora, CO 80045-2535 | 2015-04-13 |
| 1629462569 | Kevin Kilgallon | Pediatrics | 13121 E 17th Ave, Aurora, CO 80045-2535 | 2015-03-27 |
| 1043604697 | Christina V. Sul | Pediatrics | 13121 E 17th Ave, Aurora, CO 80045-2535 | 2015-03-21 |
| 1508111501 | Deborah Ellen Witsken Mood | Psychologist | 13121 E 17th Ave, C234- Jfk Partners, Aurora, CO 80045-2535 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275188427 | Ryan Holliday | Psychologist | 1700 Wheeling St # G-3116m, Aurora, CO 80045-7211 | 2019-08-05 |
| 1902397896 | Brooke Marie Ruxton | Psychologist | 2385 Stoughton Cir, Aurora, IL 60502-6478 | 2018-05-25 |
| 1033664750 | Alice Kratz Fairey | Psychologist | 15799 E Monmouth Pl, Aurora, CO 80015-1724 | 2016-08-23 |
| 1013245455 | Scott Thomas Alvord | Psychologist | 23765 3rd St Ne, Aurora, OR 97002-9606 | 2009-11-23 |
| 1033368410 | Allison Gail Dempsey | Psychologist | 13001 E 17th Pl Fl Olace2, Aurora, CO 80045-2570 | 2008-09-10 |
| 1245494111 | Cristina Lawrence Cullens | Psychologist | 21983 E Heritage Pkwy, Aurora, CO 80016-7241 | 2008-07-10 |
| 1174748941 | Dorianna Suhasini Shrader | Psychologist | 12792 E Villanova Drive, Aurora, CO 80014 | 2007-04-16 |
| 1649323445 | Carol A Marfut | Psychologist | 14304 E Evans Ave, Aurora, CO 80014-1408 | 2007-01-18 |
| 1295811834 | Don Jerome Wolff | Psychologist | 7415 S Catawba Way, Aurora, CO 80016-5213 | 2006-10-27 |
| 1487738423 | Mara Jean Kailin | Psychologist | 1646 Elmira St, Aurora, CO 80010-2122 | 2006-10-25 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.