Individual provider Active NPI

Dawn Marie Kugler, PH.D.

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1861701427
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3482 Issued in CO
Practice address
5373 N Union Blvd Ste 101
Colorado Springs, CO 80918-2073
Phone
(719) 268-0099
Fax
(719) 268-0097
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3482 CO Primary

Addresses

Primary practice location

5373 N Union Blvd Ste 101
Colorado Springs, CO 80918-2073

Mailing address

5373 N Union Blvd Ste 101
Colorado Springs, CO 80918-2073
Phone (719) 268-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101116000416 CO Practitioner - Psychologist Billing Independently 0941495956 Reassigns benefits to 1 organization
I20101116000507 CO Practitioner - Clinical Psychologist 0941495956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5373 N Union Blvd
Colorado Springs, CO 80918-2073
Phone (719) 268-0099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3482COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak View Psychology, LLC Clinical CurrentSince Oct 6, 2010 Accepting new patients

Locations

6745 Rangewood Dr
Ste 105
Colorado Springs, CO 80918
Phone (719) 268-0099

5373 N Union Blvd
Ste 101
Colorado Springs, CO 80918
Phone (719) 268-0099

Organizations & group practices 1

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1861701427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 N UNION BLVD STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182073",
            "telephone_number": "719-268-0099",
            "fax_number": "719-268-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 N UNION BLVD STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182073",
            "telephone_number": "719-268-0099",
            "fax_number": "719-268-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGLER",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.