DR. JOHN MANUEL BERMUDEZ (NPI# 1083779847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083779847 |
| Entity Type | Individual |
| Full Name | DR. JOHN MANUEL BERMUDEZ |
| Credential | PH.D. |
| Practice Address |
2930 Austin Bluffs Pkwy Suite 102 Colorado Springs CO 80918-5763 |
| Practice Telephone | 7195949997 |
| Practice Fax Number | 7195944152 |
| Mailing Telephone | 7195949997 |
| Mailing Fax Number | 7195944152 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 643 | CO | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 643 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754971 | John Bermudez | Hearing Instrument Specialist | 365 Westport Ave, Norwalk, CT 06851-4344 | 2020-03-11 |
| Street Address |
2930 AUSTIN BLUFFS PKWY SUITE 102 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-5763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477929321 | Always There Homne Care, LLC | In Home Supportive Care | 2930 Austin Bluffs Pkwy, Suite 305, Colorado Springs, CO 80918-5763 | 2015-08-14 |
| 1285799072 | United Rehabilitation, P.C. | Clinical Neuropsychologist | 2930 Austin Bluffs Pkwy, Suite 102, Colorado Springs, CO 80918-5763 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485648 | Poudre Valley Medical Group, LLC | Clinical Neuropsychologist | 175 S Union Blvd Ste 240, Colorado Springs, CO 80910-3125 | 2020-07-27 |
| 1972048098 | Neurofeedback Colorado Springs, Inc. | Clinical Neuropsychologist | 2918 Beacon St Ste A, Colorado Springs, CO 80907-9208 | 2016-12-28 |
| 1316252521 | James C Stewart Phd Professional Corporation | Clinical Neuropsychologist | 2020 Bramblwood Ln, Colorado Springs, CO 80920-1588 | 2010-08-11 |
| 1386962231 | Cassie Ann Faulhaber | Clinical Neuropsychologist | 4863 N. Nevada Ave., Ste. 321, Colorado Springs, CO 80918 | 2010-05-16 |
| 1184941726 | Cassie Faulhaber, Psy.d., Pllc | Clinical Neuropsychologist | 4863 N. Nevada, Suite 321, Colorado Springs, CO 80918 | 2010-04-21 |
| 1629301429 | David Jeffrey Stephens | Clinical Neuropsychologist | 402 Garden of The Gods Rd, Colorado Springs, CO 80907 | 2009-09-10 |
| 1215096904 | Lillian M. Moeller | Clinical Neuropsychologist | 10 Boulder Crescent St Ste 101b, Colorado Springs, CO 80903-3344 | 2006-12-08 |
| 1851499305 | David Shapiro | Clinical Neuropsychologist | 1301 8th Street, Suite 301, Colorado Springs, CO 80906 | 2006-09-20 |
| 1518902402 | Julie Denise Rippeth | Clinical Neuropsychologist | 4820 Rusina Rd Ste C, Colorado Springs, CO 80907-8127 | 2006-06-17 |
| 1851874150 | Jace Michael Waguspack | Clinical Neuropsychologist | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2018-09-12 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
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| 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.