Organization Active NPI

Praxis Psychotherapy and Assessments

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1629343728
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3651 Issued in CO
Legal business name
PRAXIS PSYCHOTHERAPY AND ASSESSMENTS
Practice address
3107 W Colorado Ave # 158
Colorado Springs, CO 80904-2088
Phone
(719) 650-4389
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. Kristi A Roberts, PHD
Title
Licensed Psychologist/Owner
Phone
(719) 650-4389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3651 CO Primary

Addresses

Primary practice location

3107 W Colorado Ave # 158
Colorado Springs, CO 80904-2088

Mailing address

4302 High Forest Rd
Colorado Springs, CO 80908-2026
Phone (719) 650-4389

Other names 1

  • Praxis Psychological Evaluations Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1629343728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HIGH FOREST RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809082026",
            "telephone_number": "719-650-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 W COLORADO AVE # 158",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042088",
            "telephone_number": "719-650-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS PSYCHOTHERAPY AND ASSESSMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "719-650-4389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Praxis Psychological Evaluations",
            "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 Mar 21, 2012; 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.