Individual provider Active NPI

Carolyn Marie Yeager, PHD

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1669136941
Registry record updated Oct 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0005666 Issued in CO
Practice address
7330 Woodmen Mesa Cir
Colorado Springs, CO 80919-2529
Phone
(719) 645-1680
NPI assigned
Oct 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0005666 CO Primary

Addresses

Primary practice location

7330 Woodmen Mesa Cir
Colorado Springs, CO 80919-2529

Mailing address

7330 Woodmen Mesa Cir
Colorado Springs, CO 80919-2529
Phone (719) 645-1680

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
I20230601001139 CO Practitioner - Clinical Psychologist 6103283437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4863 N Nevada Ave
380 Veterans Health and Trauma Clinic
Colorado Springs, CO 80918-3951
Phone (719) 255-8003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Colorado Current Accepting new patients
Regents of the University of Colorado Psychologist CurrentSince Apr 20, 2023 Accepting new patients
The Regents of the University of Colorado CurrentSince Apr 20, 2023 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": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635033600000",
    "number": "1669136941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 WOODMEN MESA CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192529",
            "telephone_number": "719-645-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 WOODMEN MESA CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192529",
            "telephone_number": "719-645-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0005666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.