1. Home
  2. Directory
  3. Colorado
  4. Aurora
  5. Psychiatry Neurology
  6. NPI Profile

CARLY KAWANISHI MD
NPI 1124600739
Psychiatry & Neurology - Child & Adolescent Psychiatry in Aurora, CO

Active since April 22, 2021PECOS Enrolled
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Kawanishi Md NPPES

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

CARLY KAWANISHI MD (NPI 1124600739) is an individual child & adolescent psychiatry provider in Aurora, Colorado, licensed in Colorado (DR.0073356) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124600739
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameCARLY KAWANISHICredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(720) 777-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2021
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1124600739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CO · DR.0073356
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
13123 E 16TH AVE, Aurora, CO 80045
Open in Google Maps ↗

Secondary Practice Location 1

Location 113001 E 17th Pl Bldg 500Aurora, CO 80045-2570 · Phone (303) 724-6019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Kawanishi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082016506
PECOS Enrollment IDI20250728001345
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN TERAVEST PA
Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MELISSA KAY FRAZER AA-C
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
RACHEL MARIE RANWEILER
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. KATHRYN LYN PEGAN AU.D.
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Adams County (720) 777-1961
MRS. KRISTEN L HOLDER FNP-C, APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. JILL M MARKS RN, APN
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. WENDELYN M BARRETT NNP
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. TIMOTHY OWEN VANDERKOOY MD
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045
Adams County (720) 777-1234

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 Carly Kawanishi's NPI number?

The NPI number for Carly Kawanishi is 1124600739. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Carly Kawanishi located?

Carly Kawanishi practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Carly Kawanishi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Carly Kawanishi enrolled in Medicare?

Yes. Carly Kawanishi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Kawanishi was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.