COTTONWOOD CREEK WELLNESS CENTER (NPI# 1073023974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073023974 |
| Entity Type | Organization |
| Organization Name | COTTONWOOD CREEK WELLNESS CENTER |
| Practice Address |
3210 E. Woodmen Rd. 110 Colorado Springs CO 80920 |
| Mailing Address |
20219 High Pines Dr Monument CO 80132-8383 |
| Practice Telephone | 7194456744 |
| Mailing Telephone | 3038881021 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | ANGIE DUNN (CEO/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7194456744 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3567 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 12452965 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Cottonwood Creek Wellness Center PLLC | 3280 E. Woodmen Rd., Suite 200, Colorado Springs, CO 80920 |
| Street Address |
3210 E. WOODMEN RD. 110 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833478 | Justine Roberta Lee Sherman | Nurse Practitioner | 3210 E. Woodmen Rd., Suite 110, Rm 7, Colorado Springs, CO 80920-1044 | 2020-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546609 | Heart Centered Counseling Inc | Psychologist | 5353 N Union Blvd, Colorado Springs, CO 80918-2065 | 2020-10-19 |
| 1508480856 | Ruth S. O'brien, Psyd Pllc | Psychologist | 6245 Silverado Trl, Colorado Springs, CO 80922-2915 | 2020-06-02 |
| 1962032664 | Viewpoints Psychotherapy Services, LLC | Psychologist | 615 N Nevada Ave Ste 4, Colorado Springs, CO 80903-1075 | 2020-01-22 |
| 1558844225 | Tracie A Nicoll | Psychologist | 1843 Austin Bluffs Pkwy Ste 102, Colorado Springs, CO 80918-7857 | 2018-09-10 |
| 1679084966 | Molly Maxfield | Psychologist | 4863 N Nevada Ave Ste 321, Colorado Springs, CO 80918-3951 | 2017-10-13 |
| 1306360755 | James M Fletcher Phd, Inc | Psychologist | 2527 W Colorado Ave Ste 210, Colorado Springs, CO 80904-6028 | 2017-07-27 |
| 1013438001 | Roy Leon Hill | Psychologist | 1465 Kelly Johnson Blvd Ste 350, Colorado Springs, CO 80920-3983 | 2017-06-29 |
| 1013367069 | Sean Kelly | Psychologist | 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 | 2016-06-20 |
| 1497113336 | Louis Hoffman, Phd | Psychologist | 655 Southpointe Ct Ste 200, Colorado Springs, CO 80906-3859 | 2016-02-07 |
| 1346615168 | Louis Hoffman | Psychologist | 655 Southpointe Court, Ste 200, Colorado Springs, CO 80906 | 2015-12-04 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on COTTONWOOD CREEK WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.