JODY LYNN GOTTESMAN (NPI# 1285842906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285842906 |
| Entity Type | Individual |
| Full Name | JODY LYNN GOTTESMAN |
| Credential | PSYD |
| Practice Address |
5611 Constitution Ave Colorado Springs CO 80915-1218 |
| Practice Telephone | 7194925471 |
| Mailing Telephone | 7194925471 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0003999 | CO | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 414 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 E Boulder St, Colorado Springs, CO 809095533 | 7193655221 | 7193658980 |
| Street Address |
5611 CONSTITUTION AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80915-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073911418 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5050 Edison Ave, Suite 116, Colorado Springs, CO 80915 | 2014-12-17 |
| 1114202041 | Stateserv Medical of Colorado LLC | Durable Medical Equipment & Medical Supplies | 920 Ford St., Suite A, Colorado Springs, CO 80915 | 2011-10-11 |
| 1447550355 | Andrew Timothy Huwe | Pharmacist | 665 N Murray Blvd, Colorado Springs, CO 80915 | 2010-10-26 |
| 1891005013 | Community Services & Supports | Day Training, Developmentally Disabled Services | 4575 Galley Rd., Suite 400a, Colorado Springs, CO 80915 | 2010-10-21 |
| 1891022505 | South Powers Dental Prof LLC | Dentist | 1580 Space Center Drive, Suite 107, Colorado Springs, CO 80915 | 2009-11-17 |
| 1720212780 | Nicole Marie Malyj | Counselor | 1520 E. Owen Circle, Colorado Springs, CO 80915 | 2009-05-06 |
| 1134325848 | Catherine M Cortese | Audiologist | 1695 Leoti Drive, Colorado Springs, CO 80915 | 2007-06-21 |
| 1306965108 | Jeanie Bein | Psychologist | 4520 Brady Rd, Colorado Springs, CO 80915 | 2007-03-29 |
| 1982749909 | Clint L Kasza | Optometrist | Vision Center At Wal-mart, 1575 Space Center Drive, Colorado Springs, CO 80915 | 2007-02-20 |
| 1013063130 | Miriam Owens | Counselor | 1611 Sanderson Avenue, Colorado Springs, CO 80915 | 2007-01-25 |
| Find all providers in zip 80915 | ||||
| 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 |
| 1073023974 | Cottonwood Creek Wellness Center | Psychologist | 3210 E. Woodmen Rd., 110, Colorado Springs, CO 80920 | 2017-10-05 |
| 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 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80915 |
Please comment or provide details below to improve the information on JODY LYNN GOTTESMAN.
| 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.