Organization Active NPI

Louis Hoffman, PHD

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1497113336
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 0002897 Issued in CO
Legal business name
LOUIS HOFFMAN, PHD
Practice address
655 Southpointe CT Ste 200
Colorado Springs, CO 80906-3859
Phone
(719) 510-8846
Fax
(877) 403-6856
NPI assigned
Feb 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Dr. Louis Hoffman, PHDNPI 1346615168
Title
Owner/Psychologist
Phone
(719) 510-8846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY 0002897 CO Primary

Addresses

Primary practice location

655 Southpointe CT Ste 200
Colorado Springs, CO 80906-3859

Mailing address

655 Southpointe CT Ste 200
Colorado Springs, CO 80906-3859
Phone (719) 510-8846

Other identifiers 1

IdentifierTypeStateIssuer
09155121MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160209000763 CO Part B Supplier - Clinic/Group Practice 3173827359 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1767 S 8th St
Ste 260
Colorado Springs, CO 80905
Phone (719) 510-8846

Practitioners & affiliated clinicians

Practitioners 1

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": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1497113336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SOUTHPOINTE CT STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063859",
            "telephone_number": "719-510-8846",
            "fax_number": "877-403-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SOUTHPOINTE CT STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063859",
            "telephone_number": "719-510-8846",
            "fax_number": "877-403-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS HOFFMAN, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "719-510-8846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY 0002897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09155121",
            "state": "CO"
        }
    ],
    "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 Apr 20, 2017; 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.