Active NPI
Karen K Underwood PHD LLC
- Assisted Living Facility (Mental Illness)
- Colorado Springs, CO
National Provider Identifier
1043379498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- 1820
- Legal business name
- KAREN K UNDERWOOD PHD LLC
- Practice address
- 2815 N Chelton Rd
Colorado Springs, CO 80909-1009 - Phone
- (719) 338-7228
- Fax
- (719) 630-1997
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen K Underwood, PHD
- Title
- Psychologist
- Phone
- (719) 338-7228
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 1820 | CO | |
| Assisted Living Facility (Mental Illness) | 3104A0625X | 1820 | CO | Primary |
| Skilled Nursing Facility | 314000000X | 1820 | CO |
Addresses
Primary practice location
2815 N Chelton Rd
Colorado Springs, CO 80909-1009
Mailing address
2815 N Chelton Rd
Colorado Springs, CO 80909-1009
Phone (719) 474-7425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07182025 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3625 Parkmoor Village Dr
Colorado Springs, CO 80917
Phone (719) 550-0200
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Colorado Springs, CO
- NPI 1124235726
-
- Clinical Psychologist
- Colorado Springs, CO
- NPI 1275820912
-
- Clinical Psychologist
- Colorado Springs, CO
- NPI 1134314008
-
- Clinical Social Worker
- Canon City, CO
- NPI 1598889354
-
- Clinical Psychologist
- Broomfield, CO
- NPI 1750504817
-
- Clinical Social Worker
- Colorado Springs, CO
- NPI 1548328859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423440000000",
"number": "1043379498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 N CHELTON RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091009",
"telephone_number": "719-474-7425",
"fax_number": "719-630-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 N CHELTON RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091009",
"telephone_number": "719-338-7228",
"fax_number": "719-630-1997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN K UNDERWOOD PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2015-02-09",
"status": "A",
"authorized_official_last_name": "UNDERWOOD",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "719-338-7228",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "CO",
"license": "1820",
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "CO",
"license": "1820",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CO",
"license": "1820",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07182025",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.