Active NPI
Anthony M Ricci PHD and Sharon a Brunink PHD PC
- Rehabilitation Psychologist
- Colorado Springs, CO
National Provider Identifier
1801078183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 416
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Michael Ricci, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0506 | Other | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Rehabilitation Psychologist
- Colorado Springs, CO
- NPI 1568680452
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.