Organization Active NPI

Sunflower Psychological Services

  • Counseling Psychologist
  • Colorado Springs, CO
National Provider Identifier
1396058020
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3113 Issued in CO
Legal business name
SUNFLOWER PSYCHOLOGICAL SERVICES
Practice address
524 N Tejon St
Colorado Springs, CO 80903-4926
Phone
(719) 930-8484
Fax
(719) 375-5266
NPI assigned
Jul 22, 2010
Last updated
Jul 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Jeanne Hinkelman, PH.D.NPI 1912196825
Title
President
Phone
(719) 930-8484

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3113 CO Primary

Addresses

Primary practice location

524 N Tejon St
Colorado Springs, CO 80903-4926

Mailing address

276 Cobblestone Dr
Colorado Springs, CO 80906-7625
Phone (719) 930-8484

Other identifiers 1

IdentifierTypeStateIssuer
C810702OtherCOMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160406001475 CO Part B Supplier - Clinic/Group Practice 0143527986 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1355 S 8th St
Ste 210
Colorado Springs, CO 80905
Phone (719) 930-8484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1396058020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 COBBLESTONE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067625",
            "telephone_number": "719-930-8484",
            "fax_number": "719-375-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N TEJON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034926",
            "telephone_number": "719-930-8484",
            "fax_number": "719-375-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "HINKELMAN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-930-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "3113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C810702",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 29, 2010; 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.