DR. PHILIP R BENNETT (NPI# 1770578908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770578908 |
| Entity Type | Individual |
| Full Name | DR. PHILIP R BENNETT |
| Credential | PSYD |
| Practice Address |
10 Boulder Crescent St Suite 203a Colorado Springs CO 80903-3344 |
| Practice Telephone | 7194402330 |
| Practice Fax Number | 7152600779 |
| Mailing Telephone | 7194402330 |
| Mailing Fax Number | 7152600779 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2622 | CO | Behavioral Health & Social Service Providers |
| Street Address |
10 BOULDER CRESCENT ST SUITE 203A |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306390844 | Elaine Humphries | Counselor | 10 Boulder Crescent St, 203d, Colorado Springs, CO 80903-3344 | 2016-08-13 |
| 1962855791 | Life Skills Plus Inc. | Marriage & Family Therapist | 10 Boulder Crescent St, Suite 203g, Colorado Springs, CO 80903-3344 | 2016-07-16 |
| 1447612734 | Priscilla Mcpeak | Massage Therapist | 10 Boulder Crescent St, Suite 204b, Colorado Springs, CO 80903-3344 | 2016-03-24 |
| 1114324654 | Kamara Mcandrews | Marriage & Family Therapist | 10 Boulder Crescent St, Suite 301, Colorado Springs, CO 80903-3344 | 2014-11-27 |
| 1336542331 | Dennis Hiser | Social Worker | 10 Boulder Crescent St, Suite 102g, Colorado Springs, CO 80903-3344 | 2014-10-03 |
| 1922408277 | Deborah Keairnes | Counselor | 10 Boulder Crescent St, Suite 203c, Colorado Springs, CO 80903-3344 | 2014-08-23 |
| 1871837278 | Lisa Carol Holder | Counselor | 10 Boulder Crescent St, Suite 301, Colorado Springs, CO 80903-3344 | 2012-11-26 |
| 1477803906 | Leola Peterson, Lcsw, Inc. | Community/Behavioral Health | 10 Boulder Crescent St, Colorado Springs, CO 80903-3344 | 2012-09-12 |
| 1881942530 | Ann Krupski | Counselor | 10 Boulder Crescent St, Suite 102e, Colorado Springs, CO 80903-3344 | 2012-08-28 |
| 1205184207 | Listening Hearts Counseling, LLC | Social Worker | 10 Boulder Crescent St, Suite 102-a, Colorado Springs, CO 80903-3344 | 2012-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546609 | Heart Centered Counseling Inc | Psychologist | 5353 N Union Blvd, Colorado Springs, CO 80918-2065 | 2020-10-19 |
| 1508480856 | Ruth S. O'brien, Psyd Pllc | Psychologist | 6245 Silverado Trl, Colorado Springs, CO 80922-2915 | 2020-06-02 |
| 1962032664 | Viewpoints Psychotherapy Services, LLC | Psychologist | 615 N Nevada Ave Ste 4, Colorado Springs, CO 80903-1075 | 2020-01-22 |
| 1558844225 | Tracie A Nicoll | Psychologist | 1843 Austin Bluffs Pkwy Ste 102, Colorado Springs, CO 80918-7857 | 2018-09-10 |
| 1679084966 | Molly Maxfield | Psychologist | 4863 N Nevada Ave Ste 321, Colorado Springs, CO 80918-3951 | 2017-10-13 |
| 1073023974 | Cottonwood Creek Wellness Center | Psychologist | 3210 E. Woodmen Rd., 110, Colorado Springs, CO 80920 | 2017-10-05 |
| 1306360755 | James M Fletcher Phd, Inc | Psychologist | 2527 W Colorado Ave Ste 210, Colorado Springs, CO 80904-6028 | 2017-07-27 |
| 1013438001 | Roy Leon Hill | Psychologist | 1465 Kelly Johnson Blvd Ste 350, Colorado Springs, CO 80920-3983 | 2017-06-29 |
| 1013367069 | Sean Kelly | Psychologist | 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 | 2016-06-20 |
| 1497113336 | Louis Hoffman, Phd | Psychologist | 655 Southpointe Ct Ste 200, Colorado Springs, CO 80906-3859 | 2016-02-07 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
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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.