| Clear Skies Psychological Services, Inc. | |
|
1843 Austin Bluffs Pkwy Colorado Springs CO 80918-7857 | |
| (719) 291-9609 | |
| (866) 488-5608 |
| Full Name | Clear Skies Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1843 Austin Bluffs Pkwy, Colorado Springs, Colorado |
| Authorized Official Name and Position | Daniel Ervin Johnson (OWNER) |
| Authorized Official Contact | 7192919609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Skies Psychological Services, Inc. 1843 Austin Bluffs Pkwy Colorado Springs CO 80918-7857 Ph: (719) 291-9609 | Clear Skies Psychological Services, Inc. 1843 Austin Bluffs Pkwy Colorado Springs CO 80918-7857 Ph: (719) 291-9609 |
| NPI Number | 1750836151 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Medicare PECOS PAC ID | 1557632239 |
|---|---|
| Medicare Enrollment ID | O20170731001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750836151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY.0004355 (Colorado) | Primary |
| Provider Name | Daniel Ervin Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083016513 PECOS PAC ID: 5496058976 Enrollment ID: I20160115000809 |
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