NPIMap

Organization Active NPI

Alice S. Brill, PH.D. PC

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1457536195
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
897 Issued in CO
Legal business name
ALICE S. BRILL, PH.D. PC
Practice address
130 E Monument St Ste 102
Colorado Springs, CO 80903-1061
Phone
(719) 633-3035
Fax
(719) 389-0464
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Alice Sara Brill, PH.D.
Title
Clinical Psychologist
Phone
(719) 633-3035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 897 CO Primary

Addresses

Primary practice location

130 E Monument St Ste 102
Colorado Springs, CO 80903-1061

Mailing address

PO Box 2350
Colorado Springs, CO 80901-2350
Phone (719) 633-3035

National Provider Directory

National Provider Directory

Locations

130 E Monument St
Ste 102
Colorado Springs, CO 80903
Phone (719) 633-3035

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1457536195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809012350",
            "telephone_number": "719-633-3035",
            "fax_number": "719-389-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E MONUMENT ST STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031061",
            "telephone_number": "719-633-3035",
            "fax_number": "719-389-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE S. BRILL, PH.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "SARA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "719-633-3035",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "897",
            "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 Dec 31, 2007; 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.