Organization Active NPI

Bundukamara Inc

Doing business as Mentally STRONG

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1497523054
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BUNDUKAMARA INC
Doing business as
Mentally STRONG
Practice address
1520 Verde Dr
Colorado Springs, CO 80910-1931
Phone
(719) 493-9555
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BUNDUKAMARA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Cristi BundukamaraNPI 1730312497
Title
Owner
Phone
(719) 493-9555

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1520 Verde Dr
Colorado Springs, CO 80910-1931

Mailing address

3720 Sinton Rd Ste 104
Colorado Springs, CO 80907-5085

Other names 1

  • Mentally STRONG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bundukamara Inc3 organizations share this tax ID, including this one
Part of
Bundukamara Inc

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1497523054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SINTON RD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 VERDE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101931",
            "telephone_number": "719-493-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNDUKAMARA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUNDUKAMARA INC",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "BUNDUKAMARA",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-493-9555"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentally STRONG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2023; 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.