Alpha Neuro LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ALPHA NEURO LLC

Practice address

2918 Beacon St
Colorado Springs, CO 80907-9208

Phone

(214) 701-0158

NPI assigned

Jan 8, 2024

Last updated

May 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica K Allen, PH.D., LP, BCBANPI 1730710054

Title

Owner

Phone

(214) 701-0158

Specialties & licenses 1

Addresses

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.

• Jessica Allen, PH.D., LP, BCBA

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1730710054
  Authorized official Same address or phone

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1609646835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 BEACON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 BEACON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079208",
            "telephone_number": "214-701-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA NEURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-701-0158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LP, BCBA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.