Provider Demographics
NPI:1811621261
Name:BUILDING BRIDGES IN MENTAL HEALTH
Entity Type:Organization
Organization Name:BUILDING BRIDGES IN MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER OF PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:NAEELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-207-9325
Mailing Address - Street 1:6337 S IDER WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-4280
Mailing Address - Country:US
Mailing Address - Phone:580-916-1825
Mailing Address - Fax:720-368-5044
Practice Address - Street 1:9085 E MINERAL CIR STE 280
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3400
Practice Address - Country:US
Practice Address - Phone:580-916-1825
Practice Address - Fax:720-368-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO346906YLDSOtherMEDICARE
CO58334360Medicaid