Active NPI
Alison Kennedy, PSYD.
- Psychologist
- Colorado Springs, CO
National Provider Identifier
1417229592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 805 S Cascade Ave
Colorado Springs, CO 80903 - Phone
- (719) 473-9200
- NPI assigned
- Feb 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3814 | CO | |
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
805 S Cascade Ave
Colorado Springs, CO 80903
Mailing address
1485 Falcon Valley Heights
Apt. 103
Colroado Springs, CO 80921
Phone (719) 232-7770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 18, 2022 through Mar 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3814 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Psychological Assessment Services of Colorado, PLLC | Current | Accepting new patients | |
| Linda L Thede PC | Past | Accepting new patients | |
| Whole Kids Co. PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Colorado Springs, CO
- NPI 1881341667
-
dba Thede Family Center for Autism and Neurodevelopmental Disorders
- Clinical Psychologist
- Colorado Springs, CO
- NPI 1487909933
-
- Professional Counselor
- Colorado Springs, CO
- NPI 1932617792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1417229592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 FALCON VALLEY HEIGHTS",
"address_2": "APT. 103",
"city": "COLROADO SPRINGS",
"state": "CO",
"postal_code": "80921",
"telephone_number": "719-232-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S CASCADE AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80903",
"telephone_number": "719-473-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ALISON",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-03",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "3814",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"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 Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.