Individual provider Active NPI

Ruth Shelhamer O'Brien, PSYD

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1730486317
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3225 Templeton Gap Rd Ste 107
Colorado Springs, CO 80907-8728
Phone
(719) 257-3926
NPI assigned
Feb 17, 2011
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Clinical Psychologist 103TC0700X PSY.0004743 CO

Addresses

Primary practice location

3225 Templeton Gap Rd Ste 107
Colorado Springs, CO 80907-8728

Mailing address

6245 Silverado TRL
Colorado Springs, CO 80922-2915
Phone (719) 257-3926

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
I20200123001812 CO Practitioner - Clinical Psychologist 3476988387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3225 Templeton Gap Rd
Suite 107
Colorado Springs, CO 80907-8729
Phone (719) 257-3926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0004743COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth S. O'Brien, PSYD PLLC Clinical CurrentSince Jul 20, 2020 Accepting new patients

Locations

2020 N Academy Blvd
Ste 274
Colorado Springs, CO 80909
Phone (719) 257-3946

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, 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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1730486317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 SILVERADO TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222915",
            "telephone_number": "719-257-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 TEMPLETON GAP RD STE 107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078728",
            "telephone_number": "719-257-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "RUTH",
        "middle_name": "SHELHAMER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.