Active NPI
Kelly Kent Orr, PHD, ABPP
- Clinical Psychologist
- Colorado Springs, CO
National Provider Identifier
1689763849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 776
- Practice address
- 2155 Hollow Brook Dr
Suite 70
Colorado Springs, CO 80918-1451 - Phone
- (719) 266-5244
- Fax
- (719) 266-5245
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 776 | WA | Primary |
| Health Service Psychologist | 103TH0100X | 2706 | CO |
Addresses
Primary practice location
2155 Hollow Brook Dr
Suite 70
Colorado Springs, CO 80918-1451
Mailing address
2155 Hollow Brook Dr
Suite 70
Colorado Springs, CO 80918-1451
Phone (719) 266-5244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30634717 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 776 | WA | MD | Clinical Psychologist |
| 2706 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CJ Chiropractic, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1346608908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1689763849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 HOLLOW BROOK DR",
"address_2": "SUITE 70",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181451",
"telephone_number": "719-266-5244",
"fax_number": "719-266-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 HOLLOW BROOK DR",
"address_2": "SUITE 70",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181451",
"telephone_number": "719-266-5244",
"fax_number": "719-266-5245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "KELLY",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "PHD, ABPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "776",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CO",
"license": "2706",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30634717",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}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 Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.