DR. ALEXANDRA LEE CHADDERDON PSY.D.
NPI 1417506221
Psychologist - Clinical in Aurora, CO

Q: What is Alexandra Chadderdon's NPI number?

The NPI number for Alexandra Chadderdon is 1417506221. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Q: What is Alexandra Chadderdon's specialty?

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

Q: Is Alexandra Chadderdon enrolled in Medicare?

No. Alexandra Chadderdon has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since September 05, 2019Opted out of Medicare · through Jul 1, 2028

13001 E 17TH PL, AURORA, CO 80045(719) 210-3550 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 2, 2019, Sep 5, 2019 (2 updates tracked since 2019).

On this page

About Dr. Alexandra Lee Chadderdon Psy.d. NPPES

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

DR. ALEXANDRA LEE CHADDERDON PSY.D. (NPI 1417506221) is an individual clinical provider in Aurora, Colorado, licensed in Colorado (0005097) and active in the NPI registry since September 2019. She has opted out of Medicare through July 1, 2028 and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1417506221

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ALEXANDRA LEE CHADDERDONCredential: PSY.D.

Location Address13001 E 17TH PLAurora, CO 80045-2570

Mailing Address13001 E 17th Pl Ste B119Aurora, CO 80045-2601

Phone(719) 210-3550

Sole ProprietorNo

Enumeration DateSeptember 5, 2019

Last NPPES UpdateDecember 2, 20192 updates tracked since enumeration

✔ NPI 1417506221 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 · 0005097

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.

13001 E 17TH PL, Aurora, CO 80045

Open in Google Maps ↗

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (719) 210-3550

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. Alexandra Lee Chadderdon Psy.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 July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

PIYUSH KUMAR SHARMA M.D

Student in an Organized Health Care Education/Training Program

13001 E 17TH PL, UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
AURORA, CO 80045

Adams County (303) 724-2680

BENJAMIN ROBERT WHARTON MD

Student in an Organized Health Care Education/Training Program