Active NPI
Pediatric Psychology Services of Colorado
- Clinical Psychologist
- Grand Junction, CO
National Provider Identifier
1992372874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- PEDIATRIC PSYCHOLOGY SERVICES OF COLORADO
- Practice address
- 618 Rood Ave
Grand Junction, CO 81501-2742 - Phone
- (970) 665-4744
- Fax
- (970) 665-4724
- NPI assigned
- Jun 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Nichole Hardy Swann
- Title
- Owner
- Phone
- (970) 665-4744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
618 Rood Ave
Grand Junction, CO 81501-2742
Mailing address
618 Rood Ave
Grand Junction, CO 81501-2742
Phone (970) 665-4744
Other names 1
- Exploration Kids Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200501000220 | CO | Part B Supplier - Clinic/Group Practice | 0143650309 |
Receives reassigned benefits from 1 practitioner 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rifle, CO; Montrose, CO; Gunnison, CO; Glenwood Springs, CO; Delta, CO; Clifton, CO; Grand Junction, CO |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Psychologist
- Colorado Springs, CO
- NPI 1184229643
O20200501000220
-
- Clinical Psychologist
- Alamosa, CO
- NPI 1205432762
O20200501000220
-
- Clinical Psychologist
- Glenwood Springs, CO
- NPI 1265066146
O20200501000220
-
- Clinical Psychologist
- Rifle, CO
- NPI 1285216929
O20200501000220
-
- Clinical Psychologist
- Clifton, CO
- NPI 1962133389
O20200501000220
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1992372874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 ROOD AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012742",
"telephone_number": "970-665-4744",
"fax_number": "970-665-4724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 ROOD AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012742",
"telephone_number": "970-665-4744",
"fax_number": "970-665-4724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC PSYCHOLOGY SERVICES OF COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-08",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "HARDY SWANN",
"authorized_official_first_name": "JESSICA NICHOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-665-4744"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Exploration Kids Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.