Clear Skies Psychological

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY.0004355 Issued in CO

Legal business name

CLEAR SKIES PSYCHOLOGICAL

Practice address

1843 Austin Bluffs Pkwy
Colorado Springs, CO 80918-7857

Phone

(719) 291-9609

Fax

(866) 488-5608

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Daniel Ervin Johnson, PSYDNPI 1083016513

Title

Owner

Phone

(719) 291-9609

Specialties & licenses 1

Addresses

Other names 1

• Clear Skies Psychological Services, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel E Johnson, PSYD

  • Psychologist
  • Colorado Springs, CO
  • NPI 1083016513
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1750836151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187857",
            "telephone_number": "719-291-9609",
            "fax_number": "866-488-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187857",
            "telephone_number": "719-291-9609",
            "fax_number": "866-488-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SKIES PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ERVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-291-9609",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Skies Psychological Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clear Skies Psychological Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angel Claycomb
• Adela Clayton, PTA
• Angelica Rose Clayton, MA, LPCC
• Heather Clayton
• Leslie Clayton
• Terry W Cleaveland, CERTIFIED OPTICIAN
• Cleckler Psychological Services, LLC
• Jon B Cleckler, MA
• Michelle Cleckler, PSY.D.
• Jennifer Lee Cleland, ATC

• Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.