NPIMap

Organization Active NPI

Momentum Behavioral Health

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1821502097
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MOMENTUM BEHAVIORAL HEALTH
Practice address
1838 Redbank Dr
Colorado Springs, CO 80921-2012
Phone
(719) 359-2336
NPI assigned
Nov 27, 2017
Last updated
Nov 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Carole EasterNPI 1417292566
Title
Owner/Clinical Director
Phone
(719) 359-2336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1838 Redbank Dr
Colorado Springs, CO 80921-2012

Mailing address

13395 Voyager Parkway Suite 130 #143
Colorado Springs, CO 80921-7677

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1821502097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13395 VOYAGER PARKWAY SUITE 130 #143",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 REDBANK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212012",
            "telephone_number": "719-359-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "EASTER",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "719-359-2336"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "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 Nov 27, 2017; 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.