Provider Demographics
NPI:1508246943
Name:HAPPY MINDS LLC
Entity Type:Organization
Organization Name:HAPPY MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KHAJA
Authorized Official - Middle Name:NAJIBUDDIN
Authorized Official - Last Name:CHISTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-224-6472
Mailing Address - Street 1:9220 TEDDY LN STE 1600
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6756
Mailing Address - Country:US
Mailing Address - Phone:303-305-7785
Mailing Address - Fax:786-930-4110
Practice Address - Street 1:9220 TEDDY LN STE 1600
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6756
Practice Address - Country:US
Practice Address - Phone:303-305-7785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR512652084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CODR.0051265OtherLICENSE