Individual provider Active NPI

Katherine Ann Stypulkowski, PHD

  • Clinical Neuropsychologist
  • Colorado Springs, CO
National Provider Identifier
1487460911
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY.0006636 Issued in CO
Practice address
5725 Mark Dabling Blvd Ste 100
Colorado Springs, CO 80919-2221
Phone
(719) 473-3272
Fax
(719) 389-1191
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1211 NV
Clinical Neuropsychologist 103G00000X PSY.0006636 CO Primary

Addresses

Primary practice location

5725 Mark Dabling Blvd Ste 100
Colorado Springs, CO 80919-2221

Mailing address

2312 N Nevada Ave Ste 100
Colorado Springs, CO 80907-5307
Phone (719) 473-3272

Other practice location 1

2312 N Nevada Ave Ste 100
Colorado Springs, CO 80907-5307
Phone (719) 473-3272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630000018 CO Practitioner - Clinical Psychologist 3476066929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Springs Neurological Associates, P.C.Group PAC ID 9638073612, 21 clinicians

Practice addresses (Care Compare)

5725 Mark Dabling Blvd
Suite 100
Colorado Springs, CO 80919-2221
Phone (719) 473-3272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY.0006636COMDClinical Neuropsychologist
1211NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Neurological Associates, PC Clinical Neuropsychologist CurrentSince Jun 23, 2025 Accepting new patients
Colorado Springs Neurological Associates, PC CurrentSince Jun 23, 2025 Accepting new patients

Locations

5725 Mark Dabling Blvd
Ste 100
Colorado Springs, CO 80919
Phone (719) 473-3272

2312 N Nevada Ave
Ste 100
Colorado Springs, CO 80907
Phone (719) 389-1108

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1487460911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 N NEVADA AVE STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075307",
            "telephone_number": "719-473-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 MARK DABLING BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192221",
            "telephone_number": "719-473-3272",
            "fax_number": "719-389-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2312 N Nevada Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809075307",
            "country_code": "US",
            "telephone_number": "719-473-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STYPULKOWSKI",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NV",
            "license": "1211",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "PSY.0006636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.