Kavya Reddy Mudiam, PHD is a
Psychologist - Addiction (substance Use Disorder) based in Denver, Colorado. Kavya Reddy Mudiam is licensed to practice in Colorado (license number ) and her current practice location is
660 Bannock St, Denver, Colorado. She can be reached at her office (for appointments etc.) via phone at
(615) 663-0773.
NPI number for Kavya Reddy Mudiam is 1508521733 and her current mailing address is 1 Serenity Ln, Coburg, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508521733.
Healthcare Provider's Profile
| Full Name | Kavya Reddy Mudiam |
|---|
| Gender | Female |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 660 Bannock St, Denver, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508521733
- Provider Enumeration Date: 11/02/2021
- Last Update Date: 07/31/2026
Medical Identifiers
Medical identifiers for Kavya Reddy Mudiam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508521733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 101YM0800X | Counselor - Mental Health | 21-QMHA-R-1774 (Oregon) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kavya Reddy Mudiam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kavya Reddy Mudiam, PHD
1 Serenity Ln,
Coburg, OR 97408-9350
Ph: Not Available | Kavya Reddy Mudiam, PHD
660 Bannock St,
Denver, CO 80204-4506
Ph: (615) 663-0773 |
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