NPIMap

Organization Active NPI

United Rehabilitation, P.C.

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1285799072
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
643 Issued in CO
Legal business name
UNITED REHABILITATION, P.C.
Practice address
2930 Austin Bluffs Pkwy
Suite 102
Colorado Springs, CO 80918-5763
Phone
(719) 594-9997
Fax
(719) 594-4152
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. John Manuel Bermudez, PH.D.NPI 1083779847
Title
President
Phone
(719) 594-9997

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 643 CO
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 643 CO Primary

Addresses

Primary practice location

2930 Austin Bluffs Pkwy
Suite 102
Colorado Springs, CO 80918-5763

Mailing address

2930 Austin Bluffs Pkwy
Suite 102
Colorado Springs, CO 80918-5763
Phone (719) 594-9997

Other identifiers 1

IdentifierTypeStateIssuer
07105513MedicaidCO

Other names 1

  • Northview Health Associates, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

2930 Austin Bluffs Pkwy
Ste 102
Colorado Springs, CO 80918
Phone (719) 594-9997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285799072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 AUSTIN BLUFFS PKWY",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185763",
            "telephone_number": "719-594-9997",
            "fax_number": "719-594-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 AUSTIN BLUFFS PKWY",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185763",
            "telephone_number": "719-594-9997",
            "fax_number": "719-594-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-594-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "643",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07105513",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northview Health Associates, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 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.

Verify at the official NPI Registry.