NPIMap

Organization Active NPI

Intermodal Interventions, Inc.

  • Forensic Psychologist
  • Colorado Springs, CO
National Provider Identifier
1245745181
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
Legal business name
INTERMODAL INTERVENTIONS, INC.
Practice address
422 E Vermijo Ave Ste 306
Colorado Springs, CO 80903-3779
Phone
(719) 219-8626
NPI assigned
Dec 13, 2017
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Autumn Ascano, JD, MSNPI 1336675040
Title
Owner
Phone
(719) 219-8626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Psychologist 103TC0700X NU
Forensic Psychologist 103TF0200X NU Primary

Addresses

Primary practice location

422 E Vermijo Ave Ste 306
Colorado Springs, CO 80903-3779

Mailing address

PO Box 60203
Colorado Springs, CO 80960-0203

National Provider Directory

National Provider Directory

Locations

1257 Lake Plaza Dr
Colorado Springs, CO 80906
Phone (719) 375-2955

1257 Lake Plaza Dr
Ste 200
Colorado Springs, CO 80906
Phone (719) 219-8626

422 E Vermijo Ave
Ste 306
Colorado Springs, CO 80903
Phone (719) 219-8626

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1245745181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809600203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E VERMIJO AVE STE 306",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033779",
            "telephone_number": "719-219-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMODAL INTERVENTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "ASCANO",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-219-8626",
        "authorized_official_credential": "JD, MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "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 Dec 13, 2017; 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.