Organization Active NPI

Psychoeducational Assessment Services, LLC

  • Health Maintenance Organization
  • Colorado Springs, CO
National Provider Identifier
1932366218
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
989604 Issued in CO
Legal business name
PSYCHOEDUCATIONAL ASSESSMENT SERVICES, LLC
Practice address
5210 Half Moon Dr
Colorado Springs, CO 80915-1125
Phone
(719) 205-2800
Fax
(719) 596-5027
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Beatrice Dolores Florez, MSWNPI 1700018652
Title
Licensed Clinical Social Worker
Phone
(719) 205-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 989604 CO Primary

Addresses

Primary practice location

5210 Half Moon Dr
Colorado Springs, CO 80915-1125

Mailing address

5210 Half Moon Dr
Colorado Springs, CO 80915-1125
Phone (719) 205-2800

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1932366218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 HALF MOON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151125",
            "telephone_number": "719-205-2800",
            "fax_number": "719-596-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 HALF MOON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151125",
            "telephone_number": "719-205-2800",
            "fax_number": "719-596-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOEDUCATIONAL ASSESSMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FLOREZ",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "719-205-2800",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "989604",
            "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 May 22, 2008; 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.