Nicole Peak, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3653 Issued in CO

Practice address

3230 E Woodmen Rd Ste 110
Colorado Springs, CO 80920-8502

Phone

(719) 623-2356

NPI assigned

Jun 11, 2008

Last updated

Apr 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Peak Psychological Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1346711900
  NPD Authorized official
• Peak Psychological Services, PLLC

  dba Sillon Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1700582681
  NPD Authorized official

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1255591558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E WOODMEN RD STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208502",
            "telephone_number": "719-623-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E WOODMEN RD STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208502",
            "telephone_number": "719-623-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Vista Community Health Centers (The Place)
• Peak Vista Community Health Centers (Heath Center at Academy Suite 3500)
• Peak Vista Community Health Centers (Downtown Health Center)
• Peak Wellness Counseling Service, LLC
• Douglas Lyle Peak Jr., DDS
• Jessica Lynn Peake, OTR/L
• Peakmed Colorado, LLC
• Peakmed Colorado, LLC
• Peakmed Colorado, LLC
• Peaks Recovery Centers LLC

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.