Individual provider Active NPI

Hannah Pilla, PSYD

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1215642855
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005083 Issued in CO
Practice address
722 S Wahsatch Ave FL 2
Colorado Springs, CO 80903-4035
Phone
(719) 632-5700
NPI assigned
Jan 18, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY.0005083 CO
Clinical Psychologist 103TC0700X PSY.0005083 CO Primary
Forensic Psychologist 103TF0200X PSY.0005083 CO

Addresses

Primary practice location

722 S Wahsatch Ave FL 2
Colorado Springs, CO 80903-4035

Mailing address

722 S Wahsatch Ave FL 2
Colorado Springs, CO 80903-4035
Phone (719) 344-7951

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
I20230406000338 CO Practitioner - Clinical Psychologist 2466827332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

117 W Rio Grande
Colorado Springs, CO 80903-4013
Phone (719) 630-6440

722 S Wahsatch Ave
Colorado Springs, CO 80903-4035
Phone (719) 776-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0005083COMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Apr 1, 2023 Accepting new patients
Peak Vista Community Health Centers CurrentSince Apr 1, 2023 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

722 S Wahsatch Ave
Colorado Springs, CO 80903
Phone (719) 344-6935

722 S Wahsatch Ave
Fl 2
Colorado Springs, CO 80903

Interoperability endpoints

  • Direct secure messaging: hannah.pilla.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 2

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": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1215642855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S WAHSATCH AVE FL 2",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034035",
            "telephone_number": "719-344-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S WAHSATCH AVE FL 2",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034035",
            "telephone_number": "719-632-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLA",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CO",
            "license": "PSY.0005083",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005083",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CO",
            "license": "PSY.0005083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.