Individual provider · Type 1 NPI
Kavya Reddy Mudiam, PhD
Addiction (Substance Use Disorder) Psychologist · Denver, CO
Practice location
660 Bannock St
Denver, CO 80204-4506
Mailing address
1 Serenity Ln
Coburg, OR 97408-9350
Other practice locations
- 1 Serenity Ln, Coburg, OR 97408-9350 · (615) 663-0773
- 10 Shelton Mcmurphey Blvd, Eugene, OR 97401-4928 · (541) 485-2711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 21-QMHA-R-1774 (OR) |
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Psychologist: 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 behav…
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About NPI 1508521733
Kavya Reddy Mudiam, PhD's National Provider Identifier is 1508521733, issued on Nov 2, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Denver, CO. The record was last updated on Jul 31, 2026.