Individual provider Active NPI

Dale Alan Piper, PSY.D.

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1215002472
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2558 Issued in CO
Practice address
225 E Cheyenne Mountain Blvd Ste 100
Colorado Springs, CO 80906-3700
Phone
(719) 493-8843
NPI assigned
Nov 22, 2006
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2558 CO Primary

Addresses

Primary practice location

225 E Cheyenne Mountain Blvd Ste 100
Colorado Springs, CO 80906-3700

Mailing address

225 E Cheyenne Mountain Blvd Ste 100
Colorado Springs, CO 80906-3700
Phone (719) 493-8843

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221014001984 CO Practitioner - Clinical Psychologist 8022484179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julie L Wilson, LLCGroup PAC ID 3072973999, 2 clinicians

Practice addresses (Care Compare)

225 E Cheyenne Mountain Blvd
Suite 100
Colorado Springs, CO 80906-3700
Phone (719) 493-8843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2558COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie L Wilson LLC CurrentSince Jul 2, 2023 Accepting new patients
Julie L Wilson LLC Psychologist PastSince May 7, 2023 Accepting new patients
The Juniper Clinic, LLC Past Accepting new patients

Locations

225 E Cheyenne Mountain Blvd
Ste 100
Colorado Springs, CO 80906
Phone (719) 204-3429

225 E Cheyenne Mountain Blvd
Ste 100A
Colorado Springs, CO 80906
Phone (719) 493-8843

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1215002472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHEYENNE MOUNTAIN BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063700",
            "telephone_number": "719-493-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHEYENNE MOUNTAIN BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063700",
            "telephone_number": "719-493-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "DALE",
        "middle_name": "ALAN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.