Individual provider Active NPI

Jonathan B. Covey, M.D.

  • Psychiatry Physician
  • Colorado Springs, CO
National Provider Identifier
1639105638
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30258 Issued in CO
Practice address
620 Southpointe CT.
Suite 215
Colorado Springs, CO 80906-3861
Phone
(719) 375-1607
Fax
(719) 434-1402
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30258 CO Primary

Addresses

Primary practice location

620 Southpointe CT.
Suite 215
Colorado Springs, CO 80906-3861

Mailing address

620 Southpointe CT.
Suite 215
Colorado Springs, CO 80906-3861
Phone (719) 375-1607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 28, 2017 through Jun 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30258COMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1639105638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SOUTHPOINTE CT.",
            "address_2": "SUITE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063861",
            "telephone_number": "719-375-1607",
            "fax_number": "719-434-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SOUTHPOINTE CT.",
            "address_2": "SUITE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063861",
            "telephone_number": "719-375-1607",
            "fax_number": "719-434-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVEY",
        "first_name": "JONATHAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "30258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.