Active NPI
Child Development Center of Colorado Springs, Inc.
- Speech-Language Pathologist
- Colorado Springs, CO
National Provider Identifier
1669011680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CHILD DEVELOPMENT CENTER OF COLORADO SPRINGS, INC.
- Practice address
- 3090 N Academy Blvd
Colorado Springs, CO 80917-5310 - Phone
- (719) 574-8300
- Fax
- (719) 574-9547
- NPI assigned
- Dec 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geoff Lipton
- Title
- Owner/Office Manager
- Phone
- (719) 574-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3090 N Academy Blvd
Colorado Springs, CO 80917-5310
Mailing address
3090 N Academy Blvd
Colorado Springs, CO 80917-5310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04002762 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.cdcrehab.com |
National Provider Directory
National Provider Directory- Tax ID family
- Child Development Center of Colorado Springs Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Occupational Therapist
- Colorado Springs, CO
- NPI 1578102596
-
- Pediatric Physical Therapist
- Colorado Springs, CO
- NPI 1184260226
-
- Prosthetic/Orthotic Supplier
- Colorado Springs, CO
- NPI 1598797144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577059200000",
"number": "1669011680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175310",
"telephone_number": "719-574-8300",
"fax_number": "719-574-9547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD DEVELOPMENT CENTER OF COLORADO SPRINGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-23",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A",
"authorized_official_last_name": "LIPTON",
"authorized_official_first_name": "GEOFF",
"authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
"authorized_official_telephone_number": "719-574-8300"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04002762",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.cdcrehab.com",
"affiliation": "N",
"address_1": "3090 N Academy Blvd",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809175310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colorado Springs, CO
- Child Community Services
- Child Community Services, LLC
- Child Development Center of Colorado Springs, Inc
- Child Development Center of Colorado Springs, Inc.
- Child Development Center of Colorado Springs, Inc.
- Cheyenne Childers
- Gary Blane Childers, M.D.
- Children'S Hospital Colorado
- Children'S Hospital Colorado
- Children'S Hospital Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.