DR. CHARLES PADDACK (MD) – Psychiatry Physician, NPI 1205980745

DR. CHARLES PADDACK (MD) is a healthcare provider. based in Boulder, Colorado. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 46807 (CO). The NPI Number for DR. CHARLES PADDACK (MD) is 1205980745

Main info

Male
Name
DR. CHARLES PADDACK (MD)
NPI
1205980745
Phone
(720) 519-0949
Address
2848 S LAKERIDGE TRL
Enumeration Date
22 January 2007
Last Update Date
15 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHARLES PADDACK (MD)

  • 2848, South Lakeridge Trail, Altona, Boulder County, Colorado, 80302, United States

    BOULDER, CO 803029374

    Phone: (720) 519-0949

    Fax: (720) 519-0948

    Type: Mailing

  • 8931 Huron St

    Thornton, CO 802606806

    Phone: (303) 853-3500

    Fax: (303) 853-3702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80302)

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Reviews

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Frequently asked questions

How do payers reference DR. CHARLES PADDACK (MD)?
For DR. CHARLES PADDACK (MD), use NPI 1205980745 as the unique 10-digit identifier.
Active or inactive — what applies to DR. CHARLES PADDACK (MD)?
You should see DR. CHARLES PADDACK (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. CHARLES PADDACK (MD)?
DR. CHARLES PADDACK (MD)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. CHARLES PADDACK (MD) associated with Boulder?
Public fields place DR. CHARLES PADDACK (MD) around Boulder, Colorado. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. CHARLES PADDACK (MD) is noted as January 22, 2007 where the registry provides it.

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