Organization Active NPI

Cura Psychology

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1497597751
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CURA PSYCHOLOGY
Practice address
1880 Office Club PT Ste 141
Colorado Springs, CO 80920-5013
Phone
(719) 428-0541
NPI assigned
Jun 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
My Hao PantusoNPI 1942951207
Title
PHD
Phone
(719) 428-0541

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 Primary

Addresses

Primary practice location

1880 Office Club PT Ste 141
Colorado Springs, CO 80920-5013

Mailing address

1880 Office Club PT Ste 141
Colorado Springs, CO 80920-5013
Phone (719) 428-0541

Other identifiers 1

IdentifierTypeStateIssuer
1942951207MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808000662 CO Part B Supplier - Clinic/Group Practice 1456898428 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1880 Office Club Pt
Ste 141
Colorado Springs, CO 80920
Phone (719) 428-0541

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": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1497597751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT STE 141",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205013",
            "telephone_number": "719-428-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT STE 141",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205013",
            "telephone_number": "719-428-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURA PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "PANTUSO",
        "authorized_official_first_name": "MY HAO",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "719-428-0541"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942951207",
            "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 Jul 26, 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.