Individual provider Active NPI

Jeanne Marie Hinkelman, PSYD

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1912196825
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3113 Issued in CO
Practice address
2864 S Circle Dr
Suite 600
Colorado Springs, CO 80906-4114
Phone
(719) 314-4260
Fax
(719) 264-6646
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3113 CO Primary

Addresses

Primary practice location

2864 S Circle Dr
Suite 600
Colorado Springs, CO 80906-4114

Mailing address

220 Ruskin Dr
Colorado Springs, CO 80910-2522
Phone (719) 314-2536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000389 CO Practitioner - Psychologist Billing Independently 7719075936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

225 E Cheyenne Mountain Blvd
Suite 110
Colorado Springs, CO 80906-3700
Phone (719) 930-8484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3133COMDProfessional Counselor
3113COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Psychological Services CurrentSince Jun 17, 2014 Accepting new patients
Diversus Health Inc Past Accepting new patients

Locations

1355 S 8th St
Ste 210
Colorado Springs, CO 80905
Phone (719) 930-8484

225 E Cheyenne Mountain Blvd
Ste 110
Colorado Springs, CO 80906
Phone (719) 465-1511

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.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1912196825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RUSKIN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102522",
            "telephone_number": "719-314-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 S CIRCLE DR",
            "address_2": "SUITE 600",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064114",
            "telephone_number": "719-314-4260",
            "fax_number": "719-264-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKELMAN",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3113",
            "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 Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.