Performance Pediatrics

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PERFORMANCE PEDIATRICS

Practice address

402 Garden of the Gods Rd
Colorado Springs, CO 80907-4218

Phone

(719) 571-9590

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Ben Burlinson

Title

Ceo

Phone

(719) 571-9590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1508364696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GARDEN OF THE GODS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074218",
            "telephone_number": "719-571-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GARDEN OF THE GODS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074218",
            "telephone_number": "719-571-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "BURLINSON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-571-9590"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfect Teeth - Union & Academy P.C.
• Perfect Teeth - Woodman Valley P.C.
• Perfect Teeth / Monument P.C.
• Performance Back
• Performance Consulting Services, LLC
• Cameron Lloyd Perigo, D.D.S.
• Marienne Perilla
• Perinatal Wellness Center
• Mitchell Mark Peritz, DC
• Allison Perkey-Adkisson

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.