Individual provider Active NPI

Diane Chew, PSY.D

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1417331075
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY0004423 Issued in CO
Practice address
4520 Centennial Blvd # 1006
Colorado Springs, CO 80919-3335
Phone
(719) 551-9226
Fax
(844) 392-0874
NPI assigned
Jul 14, 2015
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY0004423 CO Primary

Addresses

Primary practice location

4520 Centennial Blvd # 1006
Colorado Springs, CO 80919-3335

Mailing address

4520 Centennial Blvd # 1006
Colorado Springs, CO 80919-3335
Phone (719) 551-9226

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

State licenses

LicenseStateTypeSpecialty
PSY0004423COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Work Within Counseling and Psychological Services PLLC Psychologist CurrentSince Feb 27, 2022 Accepting new patients

Locations

5245 Centennial Blvd
Ste 200
Colorado Springs, CO 80919
Phone (719) 684-4569

4520 Centennial Blvd
Colorado Springs, CO 80919
Phone (719) 551-9226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1417331075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 CENTENNIAL BLVD # 1006",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193335",
            "telephone_number": "719-551-9226",
            "fax_number": "844-392-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 CENTENNIAL BLVD # 1006",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193335",
            "telephone_number": "719-551-9226",
            "fax_number": "844-392-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEW",
        "first_name": "DIANE",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-02-22",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY0004423",
            "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 Feb 22, 2022; 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.