Karen K Underwood, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1820 Issued in CO

Practice address

2815 N Chelton Rd
Colorado Springs, CO 80909-1009

Phone

(719) 338-7228

Fax

(719) 630-1997

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Karen K Underwood PHD LLC

  • Assisted Living Facility (Mental Illness)
  • Colorado Springs, CO
  • NPI 1043379498
  Medicare reassignment NPD Authorized official
• Cedar Springs Hospital, Inc

  • Psychiatric Hospital
  • Colorado Springs, CO
  • NPI 1992752133
  Medicare reassignment NPD
• Cedar Springs Hospital, Inc

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1477166833
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1124235726",
    "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": "719-338-7228",
            "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": {
        "last_name": "UNDERWOOD",
        "first_name": "KAREN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LISCENSE",
            "identifier": "1820",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C808859",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chevon Underwood
• Grace Underwood
• Jacob Underwood, MS, LPCC
• Jailynn Underwood
• Kallie Raye Underwood, CNM
• Veronica Marie Underwood
• Christine Fawn Unger, O.D.
• Olivia Unger
• James John Ungvarsky, PSYD, LMFT
• Union Blvd Dental PLLC

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.