Individual provider Active NPI

Zoe Bonack, PSYD

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1295074334
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4301 Issued in CO
Practice address
7680 Goddard St Ste 130
Colorado Springs, CO 80920-8233
Phone
(719) 323-3094
Fax
(719) 266-1773
NPI assigned
Feb 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4301 CO Primary
Marriage & Family Therapist 106H00000X 4301 CO
Psychologist 103T00000X 4301 CO
Clinical Neuropsychologist 103G00000X
Counseling Psychologist 103TC1900X 4301 CO

Addresses

Primary practice location

7680 Goddard St Ste 130
Colorado Springs, CO 80920-8233

Mailing address

7680 Goddard St Ste 130
Colorado Springs, CO 80920-8233
Phone (719) 323-3094

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
I20161005001400 CO Practitioner - Clinical Psychologist 9931497047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7680 Goddard St
Suite 130
Colorado Springs, CO 80920-8233
Phone (719) 232-0572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4301COMDMarriage & Family Therapist

Organizations & group practices 1

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": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1295074334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7680 GODDARD ST STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208233",
            "telephone_number": "719-323-3094",
            "fax_number": "719-266-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7680 GODDARD ST STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208233",
            "telephone_number": "719-323-3094",
            "fax_number": "719-266-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACK",
        "first_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-09",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "4301",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "4301",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "4301",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "4301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.