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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KAVYA REDDY MUDIAM PHD
NPI 1508521733
Psychologist - Addiction (Substance Use Disorder) in Denver, CO

Active since November 02, 2021
660 BANNOCK ST, DENVER, CO 80204(615) 663-0773 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, Jul 6, 2023, Aug 29, 2022 and 2 more (5 updates tracked since 2021).

About Kavya Reddy Mudiam Phd NPPES

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

KAVYA REDDY MUDIAM PHD (NPI 1508521733) is an individual addiction (substance use disorder) provider in Denver, Colorado and active in the NPI registry since November 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508521733
Entity TypeIndividualFemale
Primary Taxonomy103TA0400X
Provider Legal NameKAVYA REDDY MUDIAMCredential: PHD
Location Address660 BANNOCK STDenver, CO 80204-4506
Mailing Address1 Serenity LnCoburg, OR 97408-9350
Phone(615) 663-0773
Sole ProprietorNo
Enumeration DateNovember 2, 2021
Last NPPES UpdateJuly 31, 20265 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1508521733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 21-QMHA-R-1774 (OR)
660 BANNOCK ST, Denver, CO 80204
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Secondary Practice Locations 2

Location 110 Shelton McMurphey BlvdEugene, OR 97401-4928 · Phone (541) 485-2711
Location 21 Serenity LnCoburg, OR 97408-9350 · Phone (615) 663-0773

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.

RYANN SHADICK DMD
Student in an Organized Health Care Education/Training Program
660 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
OWEN LESTER WILLIAMS IV
Student in an Organized Health Care Education/Training Program
660 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
ELLEN EGIDIA SARCONE MD
Internal Medicine
660 BANNOCK ST, MAIL CODE 4000
DENVER, CO 80204
Denver County (303) 436-6907
DR. JORDAN JAY KARLITZ MD
Internal Medicine (Gastroenterology)
660 BANNOCK ST
DENVER, CO 80204
Denver County (720) 848-0000
DR. MICHELLE KATHERINE HAAS MD
Internal Medicine (Infectious Disease)
660 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-5052
MICHAEL J BREYER MD
Emergency Medicine
660 BANNOCK ST
DENVER, CO 80204
Denver County (303) 739-1211
DR. SUSANNA KOVARI M.D.
Psychiatry & Neurology (Psychiatry)
660 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-8270
ROCIO TERRONES
Technician/Technologist (Ophthalmic)
660 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-8550

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 Kavya Mudiam's NPI number?

The NPI number for Kavya Mudiam is 1508521733. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Kavya Mudiam located?

Kavya Mudiam practices at 660 Bannock St, Denver, CO 80204. The listed phone number is (615) 663-0773.

What is Kavya Mudiam's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Kavya Mudiam was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.