Organization Active NPI

Ute Pass Psychological Consultation

  • Psychologist
  • Woodland Park, CO
National Provider Identifier
1619502838
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
UTE PASS PSYCHOLOGICAL CONSULTATION
Practice address
900 Tamarac Pkwy Unit 7122
Woodland Park, CO 80863-7776
Phone
(719) 484-9334
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Christopher B Estep, PSYDNPI 1154519569
Title
Owner / Provider
Phone
(719) 484-9334

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

900 Tamarac Pkwy Unit 7122
Woodland Park, CO 80863-7776

Mailing address

900 Tamarac Pkwy Unit 7122
Woodland Park, CO 80863-7776
Phone (719) 484-9334

Other identifiers 1

IdentifierTypeStateIssuer
PSY.0003464OtherCODORA

National Provider Directory

National Provider Directory

Locations

900 Tamarac Pkwy
Unit 7122
Woodland Park, CO 80863
Phone (719) 484-9334

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": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1619502838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TAMARAC PKWY UNIT 7122",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637776",
            "telephone_number": "719-484-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TAMARAC PKWY UNIT 7122",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637776",
            "telephone_number": "719-484-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTE PASS PSYCHOLOGICAL CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "ESTEP",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "719-484-9334",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "PSY.0003464",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.