Individual provider Active NPI

Aaron G Avallone

  • Psychiatry Physician
  • Colorado Springs, CO
National Provider Identifier
1366646069
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0057401 Issued in CO
Practice address
1330 Quail Lake Loop Ste 260
Colorado Springs, CO 80906
Phone
(719) 464-6752
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DR.0057401 CO Primary

Addresses

Primary practice location

1330 Quail Lake Loop Ste 260
Colorado Springs, CO 80906

Mailing address

1330 Quail Lake Loop
Ste 260
Colorado Springs, CO 80906-4651
Phone (719) 540-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180420002078 CO Practitioner - Psychiatry 0840553087 Reassigns benefits to 1 organization
I20240516000879 FL Practitioner - Psychiatry 0840553087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, shared by 5 NPIs, 703 clinicians

Practice addresses (Care Compare)

2860 S Circle Dr
Suite 109
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

4300 W Cypress St
Suite 825
Tampa, FL 33607-4253
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Psychiatry CurrentSince Apr 10, 2018 Accepting new patients
Family Care Center, LLC CurrentSince Apr 1, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Apr 10, 2018 Accepting new patients

Locations

2860 S Circle Dr
Ste 310
Colorado Springs, CO 80906

1330 Quail Lake Loop
Ste 260
Colorado Springs, CO 80906
Phone (719) 464-6752

3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

9524 Federal Dr
Ste 120
Colorado Springs, CO 80921
Phone (719) 394-3352

2860 S Circle Dr
Fl 4
Colorado Springs, CO 80906
Phone (719) 540-2146

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

4660 Yosemite St
Ste 201
Denver, CO 80238
Phone (303) 872-1740

63 N Quebec St
Ste 201
Denver, CO 80230
Phone (303) 248-7897

1525 Raleigh St
Ste 500
Denver, CO 80204
Phone (303) 872-1735

750 W Hampden Ave
Ste 350
Englewood, CO 80110
Phone (303) 872-1734

350 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 248-7899

9135 Ridgeline Blvd
Ste 160
Highlands Ranch, CO 80129
Phone (303) 800-6093

13402 W Coal Mine Ave
Ste 110
Littleton, CO 80127
Phone (303) 248-7894

10535 Park Meadows Blvd
Ste 200
Lone Tree, CO 80124
Phone (303) 228-8958

1880 Fall River Dr
Ste 250
Loveland, CO 80538
Phone (970) 775-8626

11990 Grant St
Ste 101
Northglenn, CO 80233
Phone (303) 537-8152

10120 Twenty Mile Rd
Ste 100
Parker, CO 80134
Phone (303) 228-8871

4300 W Cypress St
Ste 825
Tampa, FL 33607

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1366646069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP",
            "address_2": "STE 260",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064651",
            "telephone_number": "719-540-2100",
            "fax_number": "719-540-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP STE 260",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-464-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALLONE",
        "first_name": "AARON",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0057401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.