Active NPI
Michael John Pantaleo, PSYD
- Psychologist
- Ft Carson, CO
National Provider Identifier
1487634606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1717
- Practice address
- Evans Army Community Hospital
Cochran Circle
Ft Carson, CO 80913 - Phone
- (719) 526-7902
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1717 | CO | Primary |
Addresses
Primary practice location
Evans Army Community Hospital
Cochran Circle
Ft Carson, CO 80913
Mailing address
1382 Brookcress Dr
Golden, CO 80401-8018
Phone (303) 526-2646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1717 | Other | CO | PSYCHOLOGIST LIC NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1717 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487634606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1382 BROOKCRESS DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804018018",
"telephone_number": "303-526-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "COCHRAN CIRCLE",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-7902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTALEO",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "1717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LIC NUMBER",
"identifier": "1717",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.