My Hao Pantuso, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0006282 Issued in CO

Practice address

11681 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3864

Phone

(719) 344-9342

NPI assigned

Jan 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Holly Pantuso Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Cura Psychology

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1497597751
  Medicare reassignment NPD Authorized official
• Whole Kids Co. PLLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1932617792
  NPD

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1942951207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11681 VOYAGER PKWY STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213864",
            "telephone_number": "719-344-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11681 VOYAGER PKWY STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213864",
            "telephone_number": "719-344-9342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 S W S Young Dr Ste B202",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765422000",
            "country_code": "US",
            "telephone_number": "254-628-0056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTUSO",
        "first_name": "MY HAO",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0006282",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly@connellbhs.com",
            "affiliation": "Y",
            "affiliationName": "Connell & Associates LLC",
            "address_1": "3106 S W S Young Dr Ste B202",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765422000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "holly@connellbhs.com",
            "affiliation": "Y",
            "affiliationName": "Connell & Associates LLC",
            "address_1": "3106 S W S Young Dr Ste B202",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765422000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "PANTUSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Pantle
• Chrysta Pantohan, PTA
• Maria Alicia Pantoja Garcia
• Sydney Pantoja
• Angela Noelle Pantoya, RBT
• Devin Wang Pao, PA-C, ATC
• Brittany Papa, RBT
• Christina Michelle Papantonakis, MD
• Veronica Leigh Papari, DPT
• Matthew Donald Pape

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.