Organization Active NPI

Anthony M Ricci PHD and Sharon a Brunink PHD PC

  • Rehabilitation Psychologist
  • Colorado Springs, CO
National Provider Identifier
1801078183
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
416 Issued in CO
Legal business name
ANTHONY M RICCI PHD AND SHARON A BRUNINK PHD PC
Practice address
5085 List Dr Ste 110
Colorado Springs, CO 80919-3322
Phone
(719) 594-4407
Fax
(719) 594-4409
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Anthony Michael Ricci, PHDNPI 1568680452
Title
President
Phone
(719) 594-4407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TR0400X 416 CO Primary

Addresses

Primary practice location

5085 List Dr Ste 110
Colorado Springs, CO 80919-3322

Mailing address

5085 List Dr Ste 110
Colorado Springs, CO 80919-3322
Phone (719) 594-4407

Other identifiers 1

IdentifierTypeStateIssuer
A0506OtherMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

5085 List Dr
Ste 110
Colorado Springs, CO 80919
Phone (719) 594-4407

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1801078183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 LIST DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193322",
            "telephone_number": "719-594-4407",
            "fax_number": "719-594-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 LIST DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193322",
            "telephone_number": "719-594-4407",
            "fax_number": "719-594-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY M RICCI PHD AND SHARON A BRUNINK PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-594-4407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "CO",
            "license": "416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "A0506",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.