Active NPI
Michael Earl Nunley, PH.D.
- Clinical Neuropsychologist
- Colorado Springs, CO
National Provider Identifier
1396941779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY.0001741
- Practice address
- 1400 E Boulder St
Colorado Springs, CO 80909-5533 - Phone
- (719) 365-2777
- Fax
- (719) 365-2750
- NPI assigned
- Jun 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY.0001741 | CO | Primary |
Addresses
Primary practice location
1400 E Boulder St
Colorado Springs, CO 80909-5533
Mailing address
PO Box 911057
Denver, CO 80291-1057
Phone (888) 269-7001
Other practice location 1
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (719) 776-6850
Other practice location 2
2925 Professional Pl Ste 101
Colorado Springs, CO 80904-8125
Phone (719) 776-6850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uch-MHS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulance
- Colorado Springs, CO
- NPI 1417512559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1396941779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911057",
"city": "DENVER",
"state": "CO",
"postal_code": "802911057",
"telephone_number": "888-269-7001",
"fax_number": "303-764-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-365-2777",
"fax_number": "719-365-2750"
}
],
"practiceLocations": [
{
"address_1": "2222 N Nevada Ave",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809076819",
"country_code": "US",
"telephone_number": "719-776-6850",
"fax_number": "719-776-6855",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2925 Professional Pl Ste 101",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809048125",
"country_code": "US",
"telephone_number": "719-776-6850",
"fax_number": "719-776-6855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUNLEY",
"first_name": "MICHAEL",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CO",
"license": "PSY.0001741",
"primary": true
}
],
"identifiers": [],
"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 May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.