Active NPI
Stephanie Spies-Upton, PHD
- Clinical Neuropsychologist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 7730 N Union Blvd Ste 105
Colorado Springs, CO 80920-4075 - Phone
- (719) 323-3094
- NPI assigned
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0005956 | CO | |
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
7730 N Union Blvd Ste 105
Colorado Springs, CO 80920-4075
Mailing address
605 Stubblefield Dr
Fountain, CO 80817-3118
Phone (936) 250-3032
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005956 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Current | Accepting new patients | |
| Family Care Center, LLC | Clinical | Current | Accepting new patients |
Locations
2860 S Circle Dr
Ste 310
Colorado Springs, CO 80906
2860 S Circle Dr
Fl 4
Colorado Springs, CO 80906
Phone (719) 540-2146
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1790141984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1801510524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 STUBBLEFIELD DR",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808173118",
"telephone_number": "936-250-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7730 N UNION BLVD STE 105",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204075",
"telephone_number": "719-323-3094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIES-UPTON",
"first_name": "STEPHANIE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0005956",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 27, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.