Individual provider Active NPI

Emily Ann Inman, PSYD

  • Clinical Neuropsychologist
  • Colorado Springs, CO
National Provider Identifier
1780935882
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3997 Issued in CO
Practice address
1426 N Hancock Ave
Suite 5N
Colorado Springs, CO 80903-2618
Phone
(719) 650-8559
Fax
(719) 447-0371
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3997 CO
Clinical Neuropsychologist 103G00000X 3997 CO Primary

Addresses

Primary practice location

1426 N Hancock Ave
Suite 5N
Colorado Springs, CO 80903-2618

Mailing address

1283 Kelly Johnson Blvd Ste 200
Colorado Springs, CO 80920-3925
Phone (719) 413-6776

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
I20140106001106 CO Practitioner - Clinical Psychologist 1052549607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurofeedback Colorado Springs IncGroup PAC ID 0446660575, 6 clinicians

Practice addresses (Care Compare)

1283 Kelly Johnson Blvd
Suite 200
Colorado Springs, CO 80920-3925
Phone (719) 639-2928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3997COMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurofeedback Colorado Springs, Inc. Clinical Neuropsychologist CurrentSince Jul 3, 2020 Accepting new patients
Neurofeedback Colorado Springs, Inc. Clinical PastSince Jul 3, 2020 Accepting new patients

Locations

1283 Kelly Johnson Blvd
Ste 200
Colorado Springs, CO 80920
Phone (719) 413-6776

2918 Beacon St
Colorado Springs, CO 80907
Phone (214) 701-0158

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1780935882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 KELLY JOHNSON BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203925",
            "telephone_number": "719-413-6776",
            "fax_number": "719-203-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 N HANCOCK AVE",
            "address_2": "SUITE 5N",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032618",
            "telephone_number": "719-650-8559",
            "fax_number": "719-447-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3997",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "3997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.