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KAREN K UNDERWOOD PHD LLC NPI 1043379498


NPI Information

NPI: 1043379498
Provider Name: KAREN K UNDERWOOD PHD LLC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
2815 N CHELTON RD
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 338-7228
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KAREN K UNDERWOOD PHD LLC is an assisted living and mental illness assisted living facility in Colorado Springs, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. KAREN K UNDERWOOD PHD LLC NPI is 1043379498. The provider is registered as an organization entity type.

The provider's business location address is:

2815 N CHELTON RD
COLORADO SPRINGS, CO
ZIP 80909-009
Phone: (719) 338-7228
Fax: (719) 630-1997

The provider's authorized official is Karen K Underwood .
The authorized official title is Psychologist and has the following contact phone number (719) 338-7228.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 2/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1273Y00000XRehabilitation Unit1820COLORADONo
2314000000XSkilled Nursing Facility1820COLORADONo
33104A0625XAssisted Living FacilityAssisted Living, Mental Illness1820COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
107182025MEDICAIDCOLORADO
2C808859MEDICARE UPINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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