Organization Active NPI

Diamond Global Healthcare, Inc

Doing business as NuMedical & Psychiatry Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
National Provider Identifier
1609340777
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIAMOND GLOBAL HEALTHCARE, INC
Doing business as
NuMedical & Psychiatry Clinic
Practice address
3585 Van Teylingen Dr Ste D
Colorado Springs, CO 80917-4872
Phone
(719) 413-5005
Fax
(719) 413-5006
NPI assigned
Jan 11, 2019
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Modupe Mary Okonofua, DNP, PMHNP-BC, FNP-CNPI 1215325535
Title
Dr.
Phone
(817) 805-9137

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Primary Care Nurse Practitioner 363LP2300X
Mental Health Counselor 101YM0800X
Nutritionist 133N00000X
Psychiatry Physician 2084P0800X
Behavior Analyst 103K00000X
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X

Addresses

Primary practice location

3585 Van Teylingen Dr Ste D
Colorado Springs, CO 80917-4872

Mailing address

3585 Van Teylingen Dr Ste D
Colorado Springs, CO 80917-4872
Phone (719) 413-5005

Other practice location 1

2402 Valley View Dr
Cedar Hill, TX 75104-6710
Phone (719) 413-5005

Other names 1

  • NuMedical & Psychiatry Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200910002379 CO Part B Supplier - Clinic/Group Practice 2466879713 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1322 N Academy Blvd
Ste 203
Colorado Springs, CO 80909
Phone (719) 413-5005

Practitioners & affiliated clinicians

Practitioners 3

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": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1609340777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 VAN TEYLINGEN DR STE D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174872",
            "telephone_number": "719-413-5005",
            "fax_number": "719-413-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 VAN TEYLINGEN DR STE D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174872",
            "telephone_number": "719-413-5005",
            "fax_number": "719-413-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751046710",
            "country_code": "US",
            "telephone_number": "719-413-5005",
            "fax_number": "719-413-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAMOND GLOBAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "OKONOFUA",
        "authorized_official_first_name": "MODUPE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "817-805-9137",
        "authorized_official_credential": "DNP, PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuMedical & Psychiatry Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NuMedical & Psychiatry Clinic",
            "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 Jun 13, 2025; 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.