NPIMap

Organization Active NPI

Peak Forensic Psych Services

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1154101970
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PEAK FORENSIC PSYCH SERVICES
Practice address
5360 N Academy Blvd Ste 240
Colorado Springs, CO 80918-4090
Phone
(719) 725-7235
NPI assigned
Sep 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Scott Michael Vanness
Title
Ceo
Phone
(719) 651-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5360 N Academy Blvd Ste 240
Colorado Springs, CO 80918-4090

Mailing address

5360 N Academy Blvd Ste 240
Colorado Springs, CO 80918-4090
Phone (719) 725-7235

Other names 2

  • Peak Forensic Psych Services Doing business as
  • Peak Memory Clinics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, NV, PA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20240409002066 CO Part B Supplier - Clinic/Group Practice 9638517709 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO
O20250723001814 TX Part B Supplier - Clinic/Group Practice 9638517709 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20250805004016 NV Part B Supplier - Clinic/Group Practice 9638517709 Practice locations: Las Vegas, NV
O20250913000513 PA Part B Supplier - Clinic/Group Practice 9638517709 Receives reassigned benefits from 2 practitioners
Practice locations: Doylestown, PA

National Provider Directory

National Provider Directory

Locations

5360 N Academy Blvd
Ste 240
Colorado Springs, CO 80918
Phone (719) 725-7235

1575 Garden of the Gods Rd
Ste 250
Colorado Springs, CO 80907
Phone (719) 725-7235

10 S Clinton St
Ste 300
Doylestown, PA 18901
Phone (215) 370-1014

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1154101970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 N ACADEMY BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184090",
            "telephone_number": "719-725-7235",
            "fax_number": "303-200-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 N ACADEMY BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184090",
            "telephone_number": "719-725-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK FORENSIC PSYCH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "VANNESS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-651-5102"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Forensic Psych Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak Forensic Psych Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak Memory Clinics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 3, 2025; 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.

Verify at the official NPI Registry.