NPIMap

Organization Active NPI

Cu Aging Center

  • Adult Mental Health Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1891881736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CU AGING CENTER
Practice address
1436 N Hancock Ave
Colorado Springs, CO 80903-2621
Phone
(719) 471-4884
Fax
(719) 471-2800
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael P Kenny, PSY.D.
Title
Director
Phone
(719) 471-4884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1436 N Hancock Ave
Colorado Springs, CO 80903-2621

Mailing address

1436 N Hancock Ave
Colorado Springs, CO 80903-2621
Phone (719) 471-4884

National Provider Directory

National Provider Directory
Tax ID family
University of Colorado56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

1436 N Hancock Ave
Colorado Springs, CO 80903
Phone (719) 471-4884

Practitioners & affiliated clinicians

Practitioners 3

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891881736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 N HANCOCK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032621",
            "telephone_number": "719-471-4884",
            "fax_number": "719-471-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 N HANCOCK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032621",
            "telephone_number": "719-471-4884",
            "fax_number": "719-471-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CU AGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-471-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "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 Aug 22, 2020; 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.