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OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
NPI 1023888450
Psychologist - Clinical in Chicago, IL

Active since January 05, 2024
4753 N BROADWAY ST STE 403, CHICAGO, IL 60640(704) 506-6267 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Mar 24, 2025, Jan 5, 2024 (3 updates tracked since 2024).

About Optum Behavioral Care Of Colorado, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTUM BEHAVIORAL CARE OF COLORADO, P.C. (NPI 1023888450), doing business as Uptown Psych Of Illinois, is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since January 2024. The organization lists Amanda Stacey Bronson, Dir Gen Mgmt, as its authorized official.

NPPES Registry Identity

NPI1023888450
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameOPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Location Address4753 N BROADWAY ST STE 403Chicago, IL 60640-7910
Mailing Address67 Burnside AveEast Hartford, CT 06108-3408 · (704) 506-6267
Phone(704) 506-6267
Organization SubpartNo
Authorized OfficialAmanda Stacey BronsonDir Gen Mgmt · (978) 222-3121
Enumeration DateJanuary 5, 2024
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1023888450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4753 N BROADWAY ST STE 403, Chicago, IL 60640
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Other Names 1

Doing Business AsUptown Psych Of Illinois

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optum Behavioral Care Of Colorado, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Optum Behavioral Care Of Colorado, P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Anjum Khan, NP
Nurse Practitioner
NPI 1548651979
4753 N BROADWAY ST STE 403
Chicago, IL 60640
(773) 989-2780
✔ PECOS✔ Accepts MedicareSame address
Margarita Kos, PMHNP-BC
Nurse Practitioner
NPI 1477974525
4753 N BROADWAY ST STE 403
Chicago, IL 60640
(773) 989-2780
✔ PECOS✔ Accepts MedicareSame address
Mai Nguyen, MD
Psychiatry
NPI 1225491954
4753 N BROADWAY ST SUITE 910
Chicago, IL 60640
(773) 989-2780
✔ PECOS✔ Accepts MedicareSame address
Jennifer Phan
Psychiatry
NPI 1376003509
4753 N BROADWAY ST STE 403
Chicago, IL 60640
(773) 989-2780
✔ PECOS✔ Accepts MedicareSame address
Andrew Wang, M.D.
Psychiatry
NPI 1023422797
4753 N BROADWAY ST STE 403
Chicago, IL 60640
(773) 989-2780
✔ PECOS✔ Accepts MedicareSame address
Aloha Leblanc
Nurse Practitioner
NPI 1437665411
5215 N CALIFORNIA AVE STE F101
Chicago, IL 60625
(773) 561-5809
✔ PECOS✔ Accepts Medicare2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optum Behavioral Care Of Colorado, P.C.'s NPI number?

The NPI number for Optum Behavioral Care Of Colorado, P.C. is 1023888450. It was assigned to this organization in the NPPES registry on January 5, 2024. The provider is doing business as Uptown Psych of Illinois.

Where is Optum Behavioral Care Of Colorado, P.C. located?

Optum Behavioral Care Of Colorado, P.C. is located at 4753 N Broadway St Ste 403, Chicago, IL 60640. The listed phone number is (704) 506-6267.

What is Optum Behavioral Care Of Colorado, P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Optum Behavioral Care Of Colorado, P.C. enrolled in Medicare?

Yes. Optum Behavioral Care Of Colorado, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optum Behavioral Care Of Colorado, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Optum Behavioral Care Of Colorado, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Psychiatry (3). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optum Behavioral Care Of Colorado, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Optum Behavioral Care Of Colorado, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optum Behavioral Care Of Colorado, P.C. was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.