Active NPI
Grandview Therapy and Consulting
- Community/Behavioral Health Agency
- Colorado Springs, CO
National Provider Identifier
1073124046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GRANDVIEW THERAPY AND CONSULTING
- Practice address
- 615 N Nevada Ave Ste 4
Colorado Springs, CO 80903-1075 - Phone
- (719) 505-2461
- Fax
- (719) 634-2563
- NPI assigned
- Aug 13, 2020
- 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
- Benjamin Neale, PSY.D.
- Title
- Owner
- Phone
- (719) 505-2461
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
615 N Nevada Ave Ste 4
Colorado Springs, CO 80903-1075
Mailing address
615 N Nevada Ave Ste 4
Colorado Springs, CO 80903-1075
Phone (719) 505-2461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
620 N Tejon St
Ste 202
Colorado Springs, CO 80903
Phone (719) 505-2461
Practitioners & affiliated clinicians
Practitioners 1
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 1780834796
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597276800000",
"number": "1073124046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N NEVADA AVE STE 4",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031075",
"telephone_number": "719-505-2461",
"fax_number": "719-634-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N NEVADA AVE STE 4",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031075",
"telephone_number": "719-505-2461",
"fax_number": "719-634-2563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANDVIEW THERAPY AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A",
"authorized_official_last_name": "NEALE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-505-2461",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 13, 2020; 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.