Active NPI
Behavioral Sleep Medicine Specialists, Inc
Doing business as Behavioral Sleep Medicine Specialists
- Clinical Psychologist
- Colorado Springs, CO
National Provider Identifier
1417240680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3157
- Legal business name
- BEHAVIORAL SLEEP MEDICINE SPECIALISTS, INC
- Doing business as
- Behavioral Sleep Medicine Specialists
- Practice address
- 1625 Medical Center PT
Suite 260
Colorado Springs, CO 80907-8731 - Phone
- (719) 422-4420
- Fax
- (719) 941-1147
- NPI assigned
- May 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Neil Glidewell, PSYD
- Title
- President
- Phone
- (719) 497-4143
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5575 | CO | |
| Clinical Psychologist | 103TC0700X | 3157 | CO | Primary |
Addresses
Primary practice location
1625 Medical Center PT
Suite 260
Colorado Springs, CO 80907-8731
Mailing address
1625 Medical Center PT
Suite 260
Colorado Springs, CO 80907-8731
Phone (719) 422-4420
Other names 1
- Behavioral Sleep Medicine Specialists
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306022400000",
"number": "1417240680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 MEDICAL CENTER PT",
"address_2": "SUITE 260",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809078731",
"telephone_number": "719-422-4420",
"fax_number": "719-941-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 MEDICAL CENTER PT",
"address_2": "SUITE 260",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809078731",
"telephone_number": "719-422-4420",
"fax_number": "719-941-1147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL SLEEP MEDICINE SPECIALISTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-22",
"last_updated": "2011-05-22",
"status": "A",
"authorized_official_last_name": "GLIDEWELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "NEIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-497-4143",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5575",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Behavioral Sleep Medicine Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
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 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.