Active NPI
Teresa J Marshall Psychologial Services, LLC
- Psychologist
- Colorado Springs, CO
National Provider Identifier
1164690186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- TERESA J MARSHALL PSYCHOLOGIAL SERVICES, LLC
- Practice address
- 2860 S Circle Dr
Ste 250L
Colorado Springs, CO 80906-4132 - Phone
- (719) 406-1223
- Fax
- (719) 465-1394
- NPI assigned
- Feb 12, 2008
- 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
- Dr. Teresa J Marshall, PH.D
- Title
- Provider
- Phone
- (719) 406-1223
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1394 | CO | |
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2860 S Circle Dr
Ste 250L
Colorado Springs, CO 80906-4132
Mailing address
2860 S Circle Dr.
Ste 250L
Colorado Springs, CO 80906-4132
Phone (719) 406-1223
National Provider Directory
National Provider DirectoryLocations
2860 S Circle Dr
Ste 250L
Colorado Springs, CO 80906
Phone (719) 406-1223
635 W Corona Ave
Ste 203
Pueblo, CO 81004
Phone (719) 406-1223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647820800000",
"number": "1164690186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 S CIRCLE DR.",
"address_2": "STE 250L",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064132",
"telephone_number": "719-406-1223",
"fax_number": "719-465-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 S CIRCLE DR",
"address_2": "STE 250L",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064132",
"telephone_number": "719-406-1223",
"fax_number": "719-465-1394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERESA J MARSHALL PSYCHOLOGIAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-12",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "719-406-1223",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CO",
"license": "1394",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"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 Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.