BUCK JACK LLC


Address: 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7581
Phone: 7198220900

BUCK JACK LLC (NPI# 1063025187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063025187
Entity Type Organization
Organization Name BUCK JACK LLC
Other Organization Name THE SHANDY CLINIC
Practice Address 8540 Scarborough Dr Ste 300
Colorado Springs
CO 80920-7581
Mailing Address 685 Citadel Dr E Ste 580
Colorado Springs
CO 80909-5381
Practice Telephone 7198220900
Mailing Telephone 7137259181
Enumeration Date 2020-08-28
Last Update Date 2020-10-01
Authorized Official Name WILLIAM COLT (PRESIDENT)
Authorized Official Telephone 7134106889
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Other Provider/Organization Names

Other Name Type Code
The Shandy Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083212393 Buck Jack LLC Physical Therapist Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 2020-10-09
1912505116 Buck Jack LLC Behavioral Analyst 1301 Fortino Blvd, Pueblo, CO 81008-2032 2020-10-12
1376141572 Buck Jack LLC Behavioral Analyst 1321 S Prairie Ave, Pueblo, CO 81005-2307 2020-10-12
1568060754 Buck Jack LLC Behavioral Analyst 830 Tenderfoot Hill Rd Ste 100, Colorado Springs, CO 80906-7372 2020-10-12
1730787920 Buck Jack LLC Behavioral Analyst 917 E Moreno Ave Ste 150, Colorado Springs, CO 80903-4547 2020-10-12
1467050658 Buck Jack LLC Behavioral Analyst 901 N Santa Fe Ave, Fountain, CO 80817-1738 2020-10-12
1104424423 Buck Jack LLC Behavioral Analyst 3625 Citadel Dr S, Colorado Springs, CO 80909-5320 2020-10-09
1497353700 Buck Jack LLC Physical Therapist 2233 Academy Pl Ste 201, Colorado Springs, CO 80909-1679 2020-10-09
1942808258 Buck Jack LLC Behavioral Analyst 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 2020-10-09
1619575909 Buck Jack LLC Physical Therapist 3901 E Yale Ave, Denver, CO 80210-6646 2020-10-09

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Buck Jack LLC 419 South Tejon Appt. 309, Colorado Springs, CO 80903

Office Location

Street Address 8540 SCARBOROUGH DR STE 300
City COLORADO SPRINGS
State CO
Zip Code 80920-7581

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134420532 Amy Nicole Losier Occupational Therapist 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 2010-11-16
1942808258 Buck Jack LLC Behavioral Analyst 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 2020-10-09
1538766100 Amy Shandy, Speech-language Pathologist, LLC Behavioral Analyst 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 2020-10-06
1225642341 Buck Jack LLC Psychologist 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7581 2020-09-04
1033770870 Stephanie Aleen Rogers Occupational Therapist 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 2019-06-24
1093270514 Courtney Elizabeth Klemme Speech-Language Pathologist 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 2019-02-08
1275098360 Alexa Tovsen Physical Therapist 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7581 2019-02-04
1831669514 Hanna B Siler Occupational Therapist 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7581 2018-11-26
1154840817 Jacqueline Marie Mitchell Occupational Therapist 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 2017-09-13
1093236135 Ashley Hamill Speech-Language Pathologist 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920-7519 2017-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407463409 Cynthia Cruz Marriage & Family Therapist 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 2020-09-24
1851905178 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-09-03
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1205440583 Emergency Medical Specialists, PC Emergency Medicine Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 2020-09-03
1700490455 Poudre Valley Medical Group, LLC Radiology 4080 Briargate Parkway, Colorado Springs, CO 80920 2020-09-01
1962015792 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-08-31
1194296491 Kramer Dentistry Inc Clinic/Center 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 2018-12-12
1134602279 Juliana Plucinik Assistant Behavior Analyst 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 2018-09-14
1811473861 Vsb Colorado Providers Pllc Dentist 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 2018-07-12
1336637438 Children's Hospital Colorado General Acute Care Hospital 4090 Briargate Parkway, Colorado Springs, CO 80920 2018-04-25
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093312639 Mary Cogswell Speech-Language Pathologist 3024 Ellesmere Dr, Colorado Springs, CO 80922-1275 2020-10-06
1770195562 Chloe Canaan Speech-Language Pathologist 11136 Cypress Tree Pt Apt 306, Colorado Springs, CO 80921-7709 2020-08-21
1598377582 Leah Schrimpf Speech-Language Pathologist 1060 Harrison Rd, Colorado Springs, CO 80905-3586 2020-08-20
1912517269 Sarah Wrede Speech-Language Pathologist 1525 Witches Willow Ln, Colorado Springs, CO 80906-6208 2020-08-02
1609485556 Jane Allison Morgan Speech-Language Pathologist 18465 Woodhaven Dr, Colorado Springs, CO 80908-1303 2020-07-27
1194334169 Jill Tullman & Associates, LLC Speech-Language Pathologist 7222 Commerce Center Dr Ste 255, Colorado Springs, CO 80919-2632 2020-07-27
1467070250 Savannah Love Lee Speech-Language Pathologist 419 E Saint Vrain St, Colorado Springs, CO 80903-3020 2020-07-08
1205464880 Madison Kurtz Speech-Language Pathologist 2233 Academy Pl Ste 200, Colorado Springs, CO 80909-1666 2020-03-30
1629604848 Shyanne Heise Speech-Language Pathologist 1710 Jet Stream Dr Ste 105, Colorado Springs, CO 80921-3937 2020-03-19
1861025488 Katie Monson Speech-Language Pathologist 4136 Coolwater Dr, Colorado Springs, CO 80916-5522 2020-02-21
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Competitor

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City COLORADO SPRINGS
Zip Code 80920

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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