DR. JACE MICHAEL WAGUSPACK


Address: 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740
Phone: 4696000994

DR. JACE MICHAEL WAGUSPACK (NPI# 1851874150) 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) 1851874150
Entity Type Individual
Full Name DR. JACE MICHAEL WAGUSPACK
Credential PHD
Practice Address 1725 E Boulder St Ste 101
Colorado Springs
CO 80909-5740
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 4696000994
Mailing Telephone 9706244034
Mailing Fax Number 9704904347
Enumeration Date 2018-09-12
Last Update Date 2018-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PSYC.00013829 CO Behavioral Health & Social Service Providers

Office Location

Street Address 1725 E BOULDER ST STE 101
City COLORADO SPRINGS
State CO
Zip Code 80909-5740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598755092 Christopher Steven Williams Psychiatry & Neurology 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 2005-10-26
1780297366 Poudre Valley Medical Group, LLC Physical Medicine & Rehabilitation 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 2020-08-25
1831711704 Poudre Valley Medical Group, LLC Psychiatry & Neurology 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 2020-05-13
1861021008 Poudre Valley Medical Group, LLC Psychiatry & Neurology 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 2020-04-08
1003370230 Kimberly M Atwater Physician Assistant 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 2019-01-22
1811447451 Madeline Lusk Physician Assistant 1725 E Boulder St Ste 101, Colorado Springs, CO 80909 2016-10-06
1487933586 Julie Elizabeth Horwitz Clinical Neuropsychologist 1725 E Boulder St Ste 101, Colorado Springs, CO 80909 2011-08-08
1407159874 Jeanette Baumann Registered Nurse 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 2010-12-07
1801026992 Krista N Greenan Neurological Surgery 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 2009-07-23
1104081637 Chamisa Macindoe Emergency Medicine 1725 E Boulder St Ste 101, Colorado Springs, CO 80909 2008-07-24
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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 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City COLORADO SPRINGS
Zip Code 80909

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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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