Theresa M. Gisi, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2396 Issued in CO

Legal business name

THERESA M. GISI, LLC

Practice address

6270 Lehman Dr
200B
Colorado Springs, CO 80918-1469

Phone

(719) 641-0222

Fax

(719) 623-0008

NPI assigned

May 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Mae Gisi, PH.D.

Title

Neuropsychologist

Phone

(719) 641-0222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1437560760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17730 SMUGGLERS RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328517",
            "telephone_number": "719-641-0222",
            "fax_number": "719-623-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 LEHMAN DR",
            "address_2": "200B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181469",
            "telephone_number": "719-641-0222",
            "fax_number": "719-623-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA M. GISI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "GISI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "719-641-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Colorado Springs, CO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.