Active NPI
Estefany Mata
- Developmental - Behavioral Pediatrics Physician
- Colorado Springs, CO
National Provider Identifier
1285438598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- RBT-24-370790
- Practice address
- 6385 Corporate Dr
Colorado Springs, CO 80919-5901 - Phone
- (520) 448-9005
- NPI assigned
- Apr 3, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | RBT-24-370790 | CO | Primary |
Addresses
Primary practice location
6385 Corporate Dr
Colorado Springs, CO 80919-5901
Mailing address
1605 E 143Rd Ave
Brighton, CO 80602-5902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-370790 | CO | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1285438598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 E 143RD AVE",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806025902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6385 CORPORATE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809195901",
"telephone_number": "520-448-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATA",
"first_name": "ESTEFANY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CO",
"license": "RBT-24-370790",
"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 Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.