| Colorado Springs Psychological Services | |
|
1115 Elkton Dr Ste 301 Colorado Springs CO 80907-3884 | |
| (719) 357-6471 | |
| (719) 631-2526 |
| Full Name | Colorado Springs Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 1115 Elkton Dr Ste 301, Colorado Springs, Colorado |
| Authorized Official Name and Position | Ryan Cole (OWNER) |
| Authorized Official Contact | 7193576471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Springs Psychological Services 1115 Elkton Dr Ste 301 Colorado Springs CO 80907-3884 Ph: (719) 357-6471 | Colorado Springs Psychological Services 1115 Elkton Dr Ste 301 Colorado Springs CO 80907-3884 Ph: (719) 357-6471 |
| NPI Number | 1982074969 |
|---|---|
| Provider Enumeration Date | 10/02/2015 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Medicare PECOS PAC ID | 0446550024 |
|---|---|
| Medicare Enrollment ID | O20151203002782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982074969 | NPI | - | NPPES |
| 13771868 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3942 (Colorado) | Primary |
| Provider Name | Ryan L Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356621544 PECOS PAC ID: 7113156886 Enrollment ID: I20140623000758 |
| Provider Name | Dana L Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285936633 PECOS PAC ID: 0244452878 Enrollment ID: I20141113002089 |
| Provider Name | Kristy L Helm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740668359 PECOS PAC ID: 5698078392 Enrollment ID: I20160128002453 |
| Provider Name | Justina M Kropp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013357243 PECOS PAC ID: 9436455599 Enrollment ID: I20160316000207 |
| Provider Name | Stephanie M Ravine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518318542 PECOS PAC ID: 9739475708 Enrollment ID: I20160831001875 |
| Provider Name | Robert L. Kay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770077059 PECOS PAC ID: 9931455904 Enrollment ID: I20180705000642 |
| Provider Name | Hannah Benedetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124441233 PECOS PAC ID: 6800228909 Enrollment ID: I20191111002469 |
| Provider Name | Jack Randell Wells |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316246937 PECOS PAC ID: 3274968433 Enrollment ID: I20200115002583 |
| Provider Name | Talli Hitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952786014 PECOS PAC ID: 1052748860 Enrollment ID: I20200217001013 |
| Provider Name | Alberto D Luna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215308929 PECOS PAC ID: 1254633852 Enrollment ID: I20210113002058 |
| Provider Name | Stephanie Van Horn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346839222 PECOS PAC ID: 7618381658 Enrollment ID: I20210202002185 |
| Provider Name | Lisa Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508531997 PECOS PAC ID: 1052716834 Enrollment ID: I20210817000926 |
| Provider Name | Deborah Johns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386312429 PECOS PAC ID: 7416353677 Enrollment ID: I20210914000893 |
| Provider Name | Tina Rose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851700280 PECOS PAC ID: 0840411344 Enrollment ID: I20211018002225 |
| Provider Name | Maria Chiaffarano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598428641 PECOS PAC ID: 3476941410 Enrollment ID: I20211025002915 |
| Provider Name | Michelle Wickizer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689339905 PECOS PAC ID: 4082003207 Enrollment ID: I20211109003432 |
| Provider Name | Christopher J White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134404916 PECOS PAC ID: 5092106070 Enrollment ID: I20211230000414 |
| Provider Name | Dawn Berry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053065227 PECOS PAC ID: 1759775661 Enrollment ID: I20220218000389 |
| Provider Name | Ashley Marie Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730668443 PECOS PAC ID: 2668868993 Enrollment ID: I20220413000890 |
| Provider Name | Chelsea Marie Quick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558852202 PECOS PAC ID: 6002296761 Enrollment ID: I20220712001804 |
| Provider Name | Patrice Werling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922525120 PECOS PAC ID: 7911381033 Enrollment ID: I20220908001085 |
| Provider Name | Kaitlyn Nicole Barker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811619190 PECOS PAC ID: 6204212095 Enrollment ID: I20220930002882 |
| Provider Name | Trevor Boon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972271716 PECOS PAC ID: 4688040959 Enrollment ID: I20221012001827 |
| Provider Name | Jessica Cooling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518675479 PECOS PAC ID: 3476921115 Enrollment ID: I20221130000885 |
| Provider Name | Katherine Derbyshire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134838717 PECOS PAC ID: 0446620108 Enrollment ID: I20221221003014 |
| Provider Name | Dana Gau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376052894 PECOS PAC ID: 1850764812 Enrollment ID: I20230222002681 |
| Provider Name | Margaret Jordan Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760180939 PECOS PAC ID: 7214301100 Enrollment ID: I20230315002690 |
| Provider Name | Carly Beckett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861869216 PECOS PAC ID: 8628443850 Enrollment ID: I20230331000816 |
| Provider Name | Daniel Montoya |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598306151 PECOS PAC ID: 6406214667 Enrollment ID: I20230620002249 |
| Provider Name | Brian Burgoyne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811434392 PECOS PAC ID: 2466808662 Enrollment ID: I20231024003377 |
| Provider Name | Heather Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437193141 PECOS PAC ID: 8628425428 Enrollment ID: I20231116001639 |
| Provider Name | Brandon Hollingsworth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447754304 PECOS PAC ID: 0547515819 Enrollment ID: I20240104000620 |
| Provider Name | Angela May Beers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356570238 PECOS PAC ID: 3173967528 Enrollment ID: I20240214000859 |
| Provider Name | Evelyn Sikora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861958043 PECOS PAC ID: 9234470287 Enrollment ID: I20240215000423 |
| Provider Name | Erica Frances Hamlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780172437 PECOS PAC ID: 0244676153 Enrollment ID: I20240314001005 |
| Provider Name | Jeffrey E Glenn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518500933 PECOS PAC ID: 2264873256 Enrollment ID: I20240508001001 |
| Provider Name | Heather Lee Horton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952545493 PECOS PAC ID: 9133561194 Enrollment ID: I20240522004210 |
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