Clinton Pickett

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0005715 Issued in CO

Practice address

1259 Lake Plaza Dr Ste 255
Colorado Springs, CO 80906-3504

Phone

(832) 509-7564

NPI assigned

Apr 6, 2016

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pickett Psychological Services LLCGroup PAC ID 0840698882, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pickett Psychological Services, LLC

  dba Central Focus Psychological Group

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1598434300
  Medicare reassignment Care Compare group NPD Authorized official
• Pickett Psychological Services, LLC

  dba Central Focus Psychological Group

  • Clinical Psychologist
  • Lakewood, CO
  • NPI 1871481549
  NPD Authorized official
• Pickett Psychological Services, LLC

  • Clinical Psychologist
  • Cripple Creek, CO
  • NPI 1730808692
  Authorized official Same address or phone
• Nalin J Mehta MD PC

  dba The Colorado Retina Center

  • Ophthalmology Physician
  • Lakewood, CO
  • NPI 1366553430
  NPD (past)

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1184088197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 N GILPIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 LAKE PLAZA DR STE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063504",
            "telephone_number": "832-509-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "CLINTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Pickens, B.A.
• Jason Pickerill
• Pickett Psychological Services, LLC (Central Focus Psychological Group)
• Pickett Psychological Services, LLC
• Cliff Pickett, LPTA
• Cortnie Erin Pickett, MA, LPC, EMDR, SOMB
• Tyler John Pickett, DDS
• Brian Todd Pickle, DDS
• Ryley Pickle
• Mariela Beatriz Picorelli

• 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 Sep 20, 2023; 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.