Individual provider Active NPI

Talli Hitt

  • Clinical Psychologist
  • Colorado SPGS, CO
National Provider Identifier
1952786014
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0005031 Issued in CO
Practice address
1115 Elkton Dr Ste 301
Colorado SPGS, CO 80907-3884
Phone
(719) 357-6471
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X
Clinical Psychologist 103TC0700X 0005031 CO Primary

Addresses

Primary practice location

1115 Elkton Dr Ste 301
Colorado SPGS, CO 80907-3884

Mailing address

1115 Elkton Dr Ste 301
Colorado SPGS, CO 80907-3884
Phone (193) 576-4717

Other practice location 1

360 Eby Creek
Eagle, CO 81631
Phone (970) 306-4673

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200217001013 CO Practitioner - Clinical Psychologist 1052748860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 S McCaslin Blvd
Suite 121
Superior, CO 80027-9701
Phone (970) 688-6112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0005031COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Psychological Services Clinical CurrentSince Dec 7, 2019 Accepting new patients
Superior Psych Assessment Services LLC Clinical CurrentSince Jan 10, 2024 Accepting new patients

Locations

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

1115 Elkton Dr
Ste 301
Colorado Springs, CO 80907
Phone (719) 226-0091

1115 Elkton Dr
Ste 102
Colorado Springs, CO 80907
Phone (719) 357-6471

400 S McCaslin Blvd
Ste 121
Superior, CO 80027
Phone (303) 815-8981

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1952786014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 301",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809073884",
            "telephone_number": "193-576-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 301",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809073884",
            "telephone_number": "719-357-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Eby Creek",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "81631",
            "country_code": "US",
            "telephone_number": "970-306-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITT",
        "first_name": "TALLI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0005031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado SPGS, CO

Sources for this page

Verify at the official NPI Registry.