DR. PAMELA ELLEN BRODY PH.D.
NPI 1104015817
Psychologist - Clinical in Denver, CO

Active since October 18, 2007Opted out of Medicare · through Jan 1, 2027
2680 CLINTON ST, DENVER, CO 80238(303) 646-7559 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Pamela Ellen Brody Ph.d. NPPES

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

DR. PAMELA ELLEN BRODY PH.D. (NPI 1104015817) is an individual clinical provider in Denver, Colorado, licensed in Colorado (3024) and active in the NPI registry since October 2007. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1104015817
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PAMELA ELLEN BRODYCredential: PH.D.
Location Address2680 CLINTON STDenver, CO 80238-2900
Mailing Address3055 Roslyn St, Suite 100Denver, CO 80238-3323 · (303) 646-7559
Sole ProprietorNo
Enumeration DateOctober 18, 2007
Last NPPES UpdateApril 4, 2011
NPI 1104015817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CO · 3024
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.

2680 CLINTON ST, Denver, CO 80238

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Pamela Ellen Brody Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Pamela Brody's NPI number?

The NPI number for Pamela Brody is 1104015817. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Where is Pamela Brody located?

Pamela Brody practices at 2680 Clinton St, Denver, CO 80238. The listed phone number is (303) 646-7559.

What is Pamela Brody's specialty?

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

Is Pamela Brody enrolled in Medicare?

No. Pamela Brody has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Pamela Brody was last updated on April 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.