Individual provider Active NPI

Siena Tugendrajch, PHD

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1255064499
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0006430 Issued in CO
Practice address
1115 Elkton Dr Ste 102
Colorado Springs, CO 80907-3597
Phone
(719) 357-6471
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY0006430 CO
Clinical Psychologist 103TC0700X PSY.0006430 CO Primary

Addresses

Primary practice location

1115 Elkton Dr Ste 102
Colorado Springs, CO 80907-3597

Mailing address

1455 Dixon Ave
Lafayette, CO 80026-8879

Other practice location 1

1455 Dixon Ave
Lafayette, CO 80026-8879
Phone (734) 764-3471

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
I20250626003712 CO Practitioner - Clinical Psychologist 1052824778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Springs Psychological ServicesGroup PAC ID 0446550024, 10 clinicians

Practice addresses (Care Compare)

1115 Elkton Dr
Suite 102
Colorado Springs, CO 80907-3597
Phone (719) 357-6471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY0006430COMDPsychologist
PSY.0006430COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Psychological Services Clinical CurrentSince Jun 17, 2025 Accepting new patients
Colorado Springs Psychological Services Clinical CurrentSince Jun 17, 2025 Accepting new patients

Locations

1115 Elkton Dr
Ste 102
Colorado Springs, CO 80907
Phone (719) 357-6471

6000 E Evans Ave
Ste 350
Denver, CO 80222
Phone (719) 357-6471

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1255064499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 DIXON AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "719-357-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Dixon Ave",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800268879",
            "country_code": "US",
            "telephone_number": "734-764-3471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUGENDRAJCH",
        "first_name": "SIENA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY0006430",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.