Active NPI
Alice S Brill, PH.D.
- Clinical Psychologist
- Colorado Springs, CO
National Provider Identifier
1194748848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 897
- Practice address
- 130 E Monument St Ste 102
Colorado Springs, CO 80903-1061 - Phone
- (719) 633-3035
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 897 | CO | Primary |
Addresses
Primary practice location
130 E Monument St Ste 102
Colorado Springs, CO 80903-1061
Mailing address
PO Box 2350
Colorado Springs, CO 80901-2350
Phone (719) 633-3035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194748848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2350",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809012350",
"telephone_number": "719-633-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E MONUMENT ST STE 102",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031061",
"telephone_number": "719-633-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILL",
"first_name": "ALICE",
"middle_name": "S",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "897",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.