Individual provider Active NPI

Ryan L Cole, PSYD, PSY

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1356621544
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3942 Issued in CO
Practice address
1115 Elkton Dr Ste 202
Colorado Springs, CO 80907-3599
Phone
(224) 715-2138
NPI assigned
Aug 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3942 CO Primary

Addresses

Primary practice location

1115 Elkton Dr Ste 202
Colorado Springs, CO 80907-3599

Mailing address

1115 Elkton Dr Ste 202
Colorado Springs, CO 80907-3599

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
I20140623000758 CO Practitioner - Clinical Psychologist 7113156886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Achieve Whole Recovery, PCGroup PAC ID 8123388527, 23 clinicians

Practice addresses (Care Compare)

1115 Elkton Dr
Suite 102
Colorado Springs, CO 80907-3597
Phone (719) 357-6471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC CurrentSince Dec 19, 2019 Accepting new patients
Achieve Whole Recovery, PC CurrentSince Dec 19, 2019 Accepting new patients
Colorado Springs Psychological Services Clinical CurrentSince Jul 20, 2015 Accepting new patients
Transitional Recovery Network LLC Current Accepting new patients
Achieve Whole Recovery, PC Current Accepting new patients
The B&B Group LLC Past Accepting new patients
Authentic Life Counseling Colorado Springs PastSince Oct 27, 2019 Accepting new patients
Colorado Springs Psychological Services Clinical Past Accepting new patients
Practice 32 LLC PastSince Apr 6, 2023 Accepting new patients

Locations

1115 Elkton Dr
Ste 202
Colorado Springs, CO 80907
Phone (719) 344-1911

1115 Elkton Dr
Ste 102
Colorado Springs, CO 80907
Phone (719) 357-6471

1115 Elkton Dr
Ste 301
Colorado Springs, CO 80907
Phone (719) 226-0091

5245 Centennial Blvd
Ste 207
Colorado Springs, CO 80919
Phone (719) 357-6471

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

1905 N Sherman St
Ste 900
Denver, CO 80203
Phone (303) 749-5150

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

Organizations & group practices 9

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1356621544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073599",
            "telephone_number": "224-715-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "RYAN",
        "middle_name": "L",
        "credential": "PSYD, PSY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.