NPIMap

Organization Active NPI

Keystone Achievements

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1912592866
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KEYSTONE ACHIEVEMENTS
Practice address
13725 Struthers Rd Ste 200
Colorado Springs, CO 80921-2488
Phone
(716) 301-5100
Fax
(719) 960-2649
NPI assigned
Mar 3, 2021
Organization subpart
Yes
Parent organization
KEYSTONE ACHIEVEMENTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Todd McLane
Title
Ceo
Phone
(719) 301-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

13725 Struthers Rd Ste 200
Colorado Springs, CO 80921-2488

Mailing address

5526 N Academy Blvd Ste 109
Colorado Springs, CO 80918-3688
Phone (719) 301-5100

Other identifiers 1

IdentifierTypeStateIssuer
1790211605MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Keystone Achievements5 organizations share this tax ID, including this one
Part of
Keystone Achievements

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1912592866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 N ACADEMY BLVD STE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183688",
            "telephone_number": "719-301-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 STRUTHERS RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212488",
            "telephone_number": "716-301-5100",
            "fax_number": "719-960-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ACHIEVEMENTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE ACHIEVEMENTS",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "MCLANE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-301-5100"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790211605",
            "state": "CO"
        }
    ],
    "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 Mar 3, 2021; 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.