DALLAS SHEPARD


Address: 2149 N Academy Blvd, Colorado Springs, CO 80909-1507
Phone: 7196616422

DALLAS SHEPARD (NPI# 1467875500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
NLC 0104292 CO Behavioral Health & Social Service Providers

Office Location

Street Address 2149 N ACADEMY BLVD
City COLORADO SPRINGS
State CO
Zip Code 80909-1507

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City COLORADO SPRINGS
Zip Code 80909

Improve Information

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Dataset Information

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.

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