Fabian Alexandro Consbruck, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY.0004889 Issued in CO

Practice address

3855 Ambrosia St Ste 302
Castle Rock, CO 80109-3959

Phone

(720) 340-8290

NPI assigned

Sep 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CO2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Totally Psyched, LLCGroup PAC ID 7113301680, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fabian.consbruck.1@21123.direct.athenahealth.com
• Direct secure messaging: fabian.consbruck.1@31779.direct.athenahealth.com

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.

• Hidden Peaks Psychology, PLLC

  dba Hidden Peaks Psychology

  • Clinical Neuropsychologist
  • Greenwood Village, CO
  • NPI 1275260770
  Medicare reassignment NPD Authorized official
• Totally Psyched, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Garden, FL
  • NPI 1396479697
  Medicare reassignment Care Compare group NPD
• Integrated Healthcare Technologies LLC

  dba AdaptWell Health

  • Psychiatry Physician
  • St Petersburg, FL
  • NPI 1609626233
  Medicare reassignment NPD
• White-Wilson Medical Center PA

  dba White-Wilson Medical Center

  • Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1467437277
  NPD
• Mobile Optix PLLC

  • Optometrist
  • Tampa, FL
  • NPI 1346809480
  NPD (past)
• SLRC Jacksonville LLC

  • Geriatric Psychiatry Physician
  • Jacksonville, FL
  • NPI 1225674849
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1740764158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701128",
            "telephone_number": "720-340-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 AMBROSIA ST STE 302",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093959",
            "telephone_number": "720-340-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Daniels Rd",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347873835",
            "country_code": "US",
            "telephone_number": "720-340-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSBRUCK",
        "first_name": "FABIAN",
        "middle_name": "ALEXANDRO",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004889",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "10642",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CO",
            "license": "PSY.0004889",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "PSY.0004889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conifer Family Therapy LLC
• Veronica Conley, LCSW
• Connect Ability Therapy, LLC
• Jesse Conner, M.D.
• Ashley Connor
• Consultants in Nephrology and Hypertension Professional LLC
• Consultants in Nephrology and Hypertension Professional LLC (Consultants in Nephrology and Hypertension)
• Contrails (Challenger Point Practice)
• Zacil Ha Contreras, MFTC
• Converge Health, LLC (Converge, Converge Rx)

• Clinical Neuropsychologist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.