Active NPI
Linton Stephen Holsenbeck III, M.D.
- Psychiatry Physician
- Colorado Springs, CO
National Provider Identifier
1063445120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 24370
- Practice address
- 3115 Angel Ter
Colorado Springs, CO 80904-4712 - Phone
- (719) 660-2510
- Fax
- (719) 538-1460
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 24370 | CO | Primary |
Addresses
Primary practice location
3115 Angel Ter
Colorado Springs, CO 80904-4712
Mailing address
3115 Angel Ter
Colorado Springs, CO 80904-4712
Phone (719) 660-2510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01243708 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24370 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1063445120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 ANGEL TER",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809044712",
"telephone_number": "719-660-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 ANGEL TER",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809044712",
"telephone_number": "719-660-2510",
"fax_number": "719-538-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSENBECK",
"first_name": "LINTON",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "24370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01243708",
"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 Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.