JUDITH REAVEN PHD
NPI 1659459519
Clinical Neuropsychologist in Aurora, CO

Q: What is Judith Reaven's NPI number?

The NPI number for Judith Reaven is 1659459519. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Judith Reaven's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Judith Reaven was last updated on September 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 01, 2006PECOS Enrolled

13121 E 17TH AVE, AURORA, CO 80045(303) 315-6503 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Judith Reaven Phd NPPES

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

JUDITH REAVEN PHD (NPI 1659459519) is an individual clinical neuropsychologist in Aurora, Colorado, licensed in Colorado (PSY.0001190) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659459519

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameJUDITH REAVENCredential: PHD

Location Address13121 E 17TH AVEAurora, CO 80045-2535

Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000

Phone(303) 315-6503

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateSeptember 10, 2021

NPPES CertifiedSeptember 10, 2021

✔ NPI 1659459519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CO · PSY.0001190

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 1190 (CO)

13121 E 17TH AVE, Aurora, CO 80045

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Other Identifiers 1

Medicaid74629701CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Reaven Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

STEPHANIE HADLEY OTD, OTR/L

Occupational Therapist