Organization Active NPI

Teresa J Marshall Psychologial Services, LLC

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1164690186
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Mar 21, 2022

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1394 CO
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.