Individual provider Active NPI

Kimberly Santos-Aviles, PHD

  • Clinical Psychologist
  • Longmont, CO
National Provider Identifier
1407644669
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0006731 Issued in CO
Practice address
220 E Rogers Rd
Longmont, CO 80501-6027
Phone
(303) 697-2583
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 PSY.0006731 CO Primary

Addresses

Primary practice location

220 E Rogers Rd
Longmont, CO 80501-6027

Mailing address

3850 Ronan Loop Unit 101
Castle Rock, CO 80108-8913
Phone (720) 713-0150

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
I20250506000525 CO Practitioner - Clinical Psychologist 4486171261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

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

4700 Castleton Way
Suite 200
Castle Rock, CO 80109-7897
Phone (888) 374-5066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY.0006731COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Clinical CurrentSince Jan 19, 2026 Accepting new patients
Salud Family Health Current Accepting new patients
Family Care Center, LLC CurrentSince Jan 19, 2026 Accepting new patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients

Locations

30 S 20th Ave
Brighton, CO 80601
Phone (303) 655-1950

4700 Castleton Way
Ste 200
Castle Rock, CO 80109

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

6255 Quebec Pkwy
Commerce City, CO 80022
Phone (303) 286-8900

1950 Redtail Hawk Dr
Estes Park, CO 80517
Phone (970) 586-9105

1635 Blue Spruce Dr
Fort Collins, CO 80524
Phone (970) 494-4040

203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560

1115 2nd St
Fort Lupton, CO 80621
Phone (303) 857-2771

729 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 867-0300

5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050

220 E Rogers Rd
Longmont, CO 80501
Phone (303) 776-3250

1410 S 7th Ave
Sterling, CO 80751
Phone (970) 526-2589

911 Robinson Ave
Trinidad, CO 81082
Phone (303) 386-2727

Interoperability endpoints

  • Direct secure messaging: kimberly.santosaviles@sfhc.eclinicaldirectplus.com

Organizations & group practices 5

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1407644669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 RONAN LOOP UNIT 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088913",
            "telephone_number": "720-713-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROGERS RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016027",
            "telephone_number": "303-697-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-AVILES",
        "first_name": "KIMBERLY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.