Organization Active NPI

Sutherland Psychology, Inc.

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1396119020
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-0003464 Issued in CO
Legal business name
SUTHERLAND PSYCHOLOGY, INC.
Practice address
225 S Academy Blvd
Suite 104
Colorado Springs, CO 80910-2768
Phone
(719) 471-0800
Fax
(719) 471-0808
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Dr. Christopher Estep, PSYCHOLOGIST
Title
Clinical Director
Phone
(719) 471-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY-0003464 CO Primary

Addresses

Primary practice location

225 S Academy Blvd
Suite 104
Colorado Springs, CO 80910-2768

Mailing address

509 Scott Ave
Suite 136
Woodland Park, CO 80863-1293
Phone (719) 471-0800

Other names 1

  • Sutherland Counseling, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

509 Scott Ave
Ste 136
Woodland Park, CO 80863

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1396119020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SCOTT AVE",
            "address_2": "SUITE 136",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808631293",
            "telephone_number": "719-471-0800",
            "fax_number": "719-471-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S ACADEMY BLVD",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102768",
            "telephone_number": "719-471-0800",
            "fax_number": "719-471-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTHERLAND PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "ESTEP",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "719-471-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY-0003464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutherland Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.