NPIMap

Organization Active NPI

Associates for Psychotherapy and Education, PC

  • Group Psychotherapy Psychologist
  • Pueblo, CO
National Provider Identifier
1356366132
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
ASSOCIATES FOR PSYCHOTHERAPY AND EDUCATION, PC
Practice address
924 Indiana Ave
Pueblo, CO 81004-3747
Phone
(719) 564-9039
Fax
(719) 561-8752
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susanne Baker
Title
Practice Administrator
Phone
(719) 564-9039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

924 Indiana Ave
Pueblo, CO 81004-3747

Mailing address

924 Indiana Ave
Pueblo, CO 81004-3747
Phone (719) 564-9039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000712 CO Part B Supplier - Clinic/Group Practice 5799674909 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

924 Indiana Ave
Pueblo, CO 81004
Phone (719) 564-9039

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356366132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 INDIANA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043747",
            "telephone_number": "719-564-9039",
            "fax_number": "719-561-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 INDIANA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043747",
            "telephone_number": "719-564-9039",
            "fax_number": "719-561-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FOR PSYCHOTHERAPY AND EDUCATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "719-564-9039"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.