Nicole Jolan Gaal

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3685 Issued in CO

Practice address

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597

Phone

(719) 602-3549

Fax

(877) 588-3465

NPI assigned

Jan 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Achieve Whole Recovery, PCGroup PAC ID 8123388527, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achieve Whole Recovery, PC

  • Specialist
  • Colorado Springs, CO
  • NPI 1013456383
  Medicare reassignment Care Compare group NPD
• Achieve Whole Recovery, PC

  • Specialist
  • Lakewood, CO
  • NPI 1275205395
  NPD

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1568732345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CANOE CREEK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "719-602-3549",
            "fax_number": "877-588-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAAL",
        "first_name": "NICOLE",
        "middle_name": "JOLAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Future Innovative Treatments, LLC
• Future Ride LLC
• Dayana Fyulep
• G2L Acupuncture One LLC (Modern Acupuncture)
• Ga HC Reit II Liberty TRS Sub, LLC (Liberty Heights)
• Gaard Medical Consultants LLC (Southern Colorado Interventional Psychiatry)
• Heather Gable
• Mariah Gable
• Taylor Gable, CNM
• Sandra Kay Gabor, C.O.T.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.