DALLAS SHEPARD (NPI# 1467875500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467875500 |
Entity Type | Individual |
Full Name | DALLAS SHEPARD |
Practice Address |
2149 N Academy Blvd Colorado Springs CO 80909-1507 |
Practice Telephone | 7196616422 |
Mailing Telephone | 7196616422 |
Enumeration Date | 2014-01-25 |
Last Update Date | 2016-11-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
NLC 0104292 | CO | Behavioral Health & Social Service Providers |
Street Address |
2149 N ACADEMY BLVD |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80909-1507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477754125 | Cheryl Anne Baeza | Social Worker | 2149 N Academy Blvd, Colorado Springs, CO 80909 | 2007-05-30 |
1972049328 | Bristlecone Family Counseling: Mental Health Counseling for Children & | Counselor | 2149 N Academy Blvd, Colorado Springs, CO 80909 | 2017-01-10 |
1093259053 | Harmonized Brain Centers, LLC | Behavior Technician | 2149 N Academy Blvd, Colorado Springs, CO 80909-1507 | 2016-12-10 |
1154653467 | Tamra Lee Bok | Counselor | 2149 N Academy Blvd, Colorado Springs, CO 80909-1507 | 2010-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
Find all providers in zip 80909 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538785027 | Amy Lawson Moore | Psychologist | 5085 List Dr Ste 200c, Colorado Springs, CO 80919-3301 | 2020-06-19 |
1871913533 | Loraine Jenness | Psychologist | 6890 Eagle Wing Dr, Colorado Springs, CO 80908-2702 | 2014-04-21 |
1659544039 | Corrine Ann Kirsch | Psychologist | 4610 Spring Canyon Hts Apt 305, Colorado Springs, CO 80907-3459 | 2008-04-08 |
1871774240 | Robert Neil Glidewell | Psychologist | 1155 Kelly Johnson Blvd Ste 111, Colorado Springs, CO 80920-3957 | 2007-11-14 |
1679002612 | Pinwheel Psychological Services, Pllc | Psychologist | 3225 Templeton Gap Rd Ste 212, Colorado Springs, CO 80907-8714 | 2017-06-04 |
1598156994 | Summit Psychological Assessment & Consultation | Psychologist | 7710 N Union Blvd, Colorado Springs, CO 80920-4030 | 2015-02-07 |
1912156977 | Theresa Marie Yakich | Psychologist | 3578 Hartsel Dr, Unit E-117, Colorado Springs, CO 80920-2103 | 2008-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366066110 | Ione Renee Lafata | Psychologist | 31 Spruce Lake Dr, Divide, CO 80814-9757 | 2020-06-07 |
1104450394 | Sarah Ann Haider | Psychologist | 7120 E Orchard Rd Ste 305, Centennial, CO 80111-1734 | 2020-02-26 |
1417595976 | Deborah M Rosenberg Phd LLC | Psychologist | 3721 Evergreen Pkwy Ste 10, Evergreen, CO 80439-7774 | 2019-12-16 |
1174073274 | Rajmatie Hardial-hosein | Psychologist | 6755 Beech Ct, Arvada, CO 80004-2045 | 2016-10-12 |
1952752487 | Mariah Coe | Psychologist | 2001 S. Shields, Building K, Fort Collins, CO 80525 | 2016-06-27 |
1568842821 | Mariah E. Coe | Psychologist | 2339 Quartz St, Castle Rock, CO 80109-3668 | 2015-06-02 |
1588056006 | New Horizons/nuevos Horizontes | Psychologist | 11515 E Amherst Cir N, Aurora, CO 80014-3046 | 2015-02-20 |
1902213655 | Edward Phillip Mockus | Psychologist | 1032 N Lincoln Ave, Loveland, CO 80537-4989 | 2014-07-15 |
1083908180 | Sharon S. Jacksi | Psychologist | 486 Tiara Dr, Grand Junction, CO 81507-8717 | 2011-06-06 |
1194041251 | John Whitney Steele | Psychologist | 1055 Miami Way, Boulder, CO 80305-6404 | 2010-04-14 |
Find all providers with the same taxonomy |
City | COLORADO SPRINGS |
Zip Code | 80909 |
Please comment or provide details below to improve the information on DALLAS SHEPARD.
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.