DR. BENJAMIN JOSEPH KLUCK (NPI# 1104059195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104059195 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN JOSEPH KLUCK |
| Credential | PH.D. |
| Practice Address |
25 N Spruce St Colorado Springs CO 80905-1436 |
| Mailing Address |
25 N. Spruce St Colorado Springs CO 80905-1031 |
| Practice Telephone | 7193275686 |
| Mailing Telephone | 7193275686 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2013-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | CO | Behavioral Health & Social Service Providers |
| Street Address |
25 N SPRUCE ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80905-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763579 | Nicole Renee Fullerton | Social Worker | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2013-03-11 |
| 1386991040 | Caroline Marie Reese Kelly | Psychologist | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2012-08-12 |
| 1801162409 | Mary Nierode | Social Worker | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2012-03-28 |
| 1558680058 | Dina Lynne Dunn | Counselor | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2010-05-24 |
| 1992022669 | Margaret Kay Russell | Social Worker | 25 N Spruce St, Va Mental Health, Colorado Springs, CO 80905-1436 | 2010-04-21 |
| 1164654067 | Jill I. Turner | Social Worker | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2009-08-11 |
| 1437397908 | Lynae C Kruse | Social Worker | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2009-01-22 |
| 1144467556 | Barbara Joan Schultz | Nurse Practitioner | 25 N Spruce St, Rm 210 J, Colorado Springs, CO 80905-1436 | 2009-01-08 |
| 1437395340 | Ruth Elaine Picton | Pharmacist | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2008-12-23 |
| 1285881862 | Dept of Veterans Affairs | General Acute Care Hospital | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1720537509 | Rhianon Leigh Davis | Physical Therapy Assistant | 810 Arcturus Drive, Colorado Springs, CO 80905 | 2016-09-22 |
| 1861878639 | Melissa Bernstein-linan | Counselor | 1301 S 8th St Ste 200, Colorado Springs, CO 80905 | 2015-08-04 |
| 1376973669 | Kierstie Cameron | Counselor | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-11-22 |
| 1215294301 | Nancy J. Beach | Counselor | 1355 S 8th St Ste 206, Colorado Springs, CO 80905 | 2012-04-13 |
| 1699096107 | Hinds' Feet Adventures | Counselor | 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 | 2010-06-18 |
| 1396067310 | Pinnacle Family Medicine, Pllc | Family Medicine | 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 | 2010-02-17 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1386786598 | Pia Hillevi Schalin | Family Medicine | 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 | 2007-02-13 |
| Find all providers in zip 80905 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766466 | Lindsay Shaw | Psychologist | 9451 Palladium Hts # C416, Colorado Springs, CO 80920-1615 | 2020-09-24 |
| 1225506751 | Thrash & Associates Pllc | Psychologist | 224 E Willamette Ave # 8, Colorado Springs, CO 80903-1114 | 2018-11-02 |
| 1801375878 | Joan Dorothy Hemmer | Psychologist | 4879 Spanish Hts, Colorado Springs, CO 80906-5970 | 2018-08-10 |
| 1669963427 | James Lawrence Bixler | Psychologist | 4003 N Weber St Ste B2, Colorado Springs, CO 80907-4410 | 2018-05-28 |
| 1245759380 | Shanda Dawn Vaira | Psychologist | 3275 Pony Tracks Dr, Colorado Springs, CO 80922-1416 | 2017-09-10 |
| 1477080430 | Mountaineer Counseling and Consulting, LLC | Psychologist | 1843 Austin Bluffs Pkwy Ste 201, Colorado Springs, CO 80918-7857 | 2017-05-20 |
| 1083145858 | Jennifer Marie Hill | Psychologist | 3225 Templeton Gap Rd Ste 212, Colorado Springs, CO 80907-8714 | 2017-03-23 |
| 1780120725 | Katie Poe | Psychologist | 8424 Lundeen Pl, Colorado Springs, CO 80925-9588 | 2017-01-15 |
| 1851748016 | Kyle Green | Psychologist | 4356 Montebello Dr, Suite 25283, Colorado Springs, CO 80918-9998 | 2016-05-18 |
| 1417331075 | Diane Chew | Psychologist | 5245 Centennial Blvd Ste 200, Colorado Springs, CO 80919-4405 | 2015-07-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80905 |
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| 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.