Active NPI
Geropsych, PC
- Geriatric Psychiatry Physician
- Pueblo, CO
National Provider Identifier
1154561025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- GEROPSYCH, PC
- Practice address
- 1601 Constitution Rd
Pueblo, CO 81001-2197 - Phone
- (719) 562-7200
- NPI assigned
- Mar 4, 2009
- 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
- David Anthony Scola, MD
- Title
- Provider
- Phone
- (719) 649-4644
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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | Primary |
Addresses
Primary practice location
1601 Constitution Rd
Pueblo, CO 81001-2197
Mailing address
1220 S Liberty Point Blvd
Pueblo West, CO 81007-7513
Phone (719) 649-4644
Other practice location 1
2719 N Union Blvd
Colorado Springs, CO 80909-1145
Phone (719) 636-1676
Other practice location 2
2611 Jones Ave
Pueblo, CO 81004-2650
Phone (719) 564-1735
Other practice location 3
835 Tenderfoot Hill Rd
Colorado Springs, CO 80906-3903
Phone (719) 576-8380
Other practice location 4
7550 Assisi Hts
Colorado Springs, CO 80919-3853
Phone (719) 598-1336
Other practice location 5
900 S 12th St
Pueblo, CO 81004
Phone (619) 876-9252
Other practice location 6
110 W Van Buren St
Colorado Springs, CO 80907-6713
Phone (719) 475-8686
Other practice location 7
920 S Chelton Rd
Colorado Springs, CO 80910-2311
Phone (719) 473-7780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1601 Constitution Rd
Pueblo, CO 81001
Phone (719) 562-7200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
- NPI 1447587415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665014400000",
"number": "1154561025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 S LIBERTY POINT BLVD",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810077513",
"telephone_number": "719-649-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CONSTITUTION RD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810012197",
"telephone_number": "719-562-7200"
}
],
"practiceLocations": [
{
"address_1": "2719 N Union Blvd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809091145",
"country_code": "US",
"telephone_number": "719-636-1676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2611 Jones Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810042650",
"country_code": "US",
"telephone_number": "719-564-1735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "835 Tenderfoot Hill Rd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809063903",
"country_code": "US",
"telephone_number": "719-576-8380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7550 Assisi Hts",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809193853",
"country_code": "US",
"telephone_number": "719-598-1336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 S 12th St",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "81004",
"country_code": "US",
"telephone_number": "619-876-9252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 W Van Buren St",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809076713",
"country_code": "US",
"telephone_number": "719-475-8686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 S Chelton Rd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809102311",
"country_code": "US",
"telephone_number": "719-473-7780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GEROPSYCH, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-04",
"last_updated": "2022-10-06",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "SCOLA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "719-649-4644",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.