Active NPI
Brian Mark Seavey, PSY.D.
- Clinical Psychologist
- Ft Carson, CO
National Provider Identifier
1770651002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3084
- Practice address
- 1650 Cochrane Cir
Dept of Behavioral Health
Ft Carson, CO 80913-4604 - Phone
- (253) 282-3860
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3084 | CO | Primary |
Addresses
Primary practice location
1650 Cochrane Cir
Dept of Behavioral Health
Ft Carson, CO 80913-4604
Mailing address
10 Boulder Crescent St Ste 204B
Colorado Springs, CO 80903-3355
Phone (719) 233-0138
Other practice location 1
10 Boulder Crescent St Ste 204B
Colorado Springs, CO 80903-3355
Phone (719) 233-0138
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070626000406 | CO | Practitioner - Clinical Psychologist | 6103922000 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3084 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721520000000",
"number": "1770651002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BOULDER CRESCENT ST STE 204B",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033355",
"telephone_number": "719-233-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR",
"address_2": "DEPT OF BEHAVIORAL HEALTH",
"city": "FT CARSON",
"state": "CO",
"postal_code": "809134604",
"telephone_number": "253-282-3860"
}
],
"practiceLocations": [
{
"address_1": "10 Boulder Crescent St Ste 204B",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809033355",
"country_code": "US",
"telephone_number": "719-233-0138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEAVEY",
"first_name": "BRIAN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2024-07-21",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.