Individual provider Active NPI

Valerie J Anderson, PSYD

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1649470303
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 3286 Issued in CO
Practice address
245 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-3719
Phone
(719) 465-1511
Fax
(270) 913-0697
NPI assigned
Jul 20, 2007
Last updated
May 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 3286 CO Primary

Addresses

Primary practice location

245 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-3719

Mailing address

PO Box 38061
Colorado Springs, CO 80937-8061
Phone (719) 465-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000184 CO Practitioner - Clinical Psychologist 3274797253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

245 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-3719

245 E Cheyenne Mountain Blvd
Suite C
Colorado Springs, CO 80906-3700

2630 Tenderfoot Hill St
Suite 120
Colorado Springs, CO 80906-7373
Phone (719) 465-1511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 3286COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Colorado CurrentSince May 18, 2017 Accepting new patients

Locations

4863 N Nevada Ave
Ste 380
Colorado Springs, CO 80918
Phone (719) 255-8001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1649470303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38061",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809378061",
            "telephone_number": "719-465-1511",
            "fax_number": "270-913-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E CHEYENNE MOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063719",
            "telephone_number": "719-465-1511",
            "fax_number": "270-913-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VALERIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY 3286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.