Pickett Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PICKETT PSYCHOLOGICAL SERVICES, LLC

Practice address

14143 Denver West Pkwy Ste 100
Lakewood, CO 80401-3275

Phone

(719) 598-3585

Fax

(720) 358-2674

NPI assigned

Mar 8, 2024

Last updated

Mar 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clinton Pickett

Title

Owner

Phone

(832) 763-0823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pickett Psychological Services, LLC

  dba Central Focus Psychological Group

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1598434300

  O20211006000900

  Same enrollment
• Pickett Psychological Services, LLC

  • Clinical Psychologist
  • Cripple Creek, CO
  • NPI 1730808692

  O20211006000900

  Same enrollment
• Pickett Psychological Services, LLC

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1730967712

  O20211006000900

  Same enrollment
• Pickett Psychological Services, LLC

  dba Central Focus Psychological Group

  • Clinical Psychologist
  • Lakewood, CO
  • NPI 1871481549

  O20211006000900

  Same enrollment

Tax ID family

Central Focus Psychological Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pickett Psychological Services, LLC

  dba Central Focus Psychological Group

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1598434300
  NPD tax ID
• Pickett Psychological Services, LLC

  dba Central Focus Psychological Group

  • Clinical Psychologist
  • Lakewood, CO
  • NPI 1871481549
  NPD tax ID

Locations

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1487412060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 LAKE PLAZA DR STE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063504",
            "telephone_number": "719-598-3585",
            "fax_number": "720-358-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14143 DENVER WEST PKWY STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013275",
            "telephone_number": "719-598-3585",
            "fax_number": "720-358-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKETT PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-763-0823"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician Management Services of Colorado III, LLC
• Physiotherapy Associates Inc
• Pible Dialysis LLC (West Lakewood Dialysis)
• Amanda Picariello
• Teresa Pichot, LCSW, LAC, MAC
• Pickett Psychological Services, LLC (Central Focus Psychological Group)
• H Maning Pickett, MD
• Paige Pickett
• Sara Pickup
• Kelly Picune, MS, MA, LPCC

• Clinical Psychologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.