MEDICARE: PSYCH NP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1538904735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCH NP PLLC

Provider Business Mailing Address
First Line	:	2320 W COLORADO AVE STE 118
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-3354
Country	:	US
Telephone Number	:	719-581-7110
Fax Number	:	719-581-7114

Provider Business Practice Location Address
First Line	:	2320 W COLORADO AVE STE 118
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-3354
Country	:	US
Telephone Number	:	719-581-7110
Fax Number	:	719-581-7114

Authorized Official
Title or Position	:	OWNER, PMHNP
Name	:	SHANNON STONE
Credential	:
Telephone Number	:	719-581-7110

Provider Enumeration Date	:	06/28/2024
Last Update Date	:	01/07/2025

Similar Medicare Providers

1750231445 — JACK MAGBANUA WOLFE LMT
Practice Location Address:

2320 W COLORADO AVE STE 115
COLORADO SPRINGS, CO
80904-3354

Practice Phone: 719-200-7590
Practice Fax:

1124670393 — CARA BUSSELL PHD
Practice Location Address:

2320 W COLORADO AVE STE 112
COLORADO SPRINGS, CO
80904-3354

Practice Phone: 719-377-5493
Practice Fax: 719-931-5575

1174318547 — ARIEL CATES LMT
Practice Location Address:

2320 W COLORADO AVE STE 114
COLORADO SPRINGS, CO
80904-3354

Practice Phone: 720-525-6602
Practice Fax:

1093604118 — DR. CARA BUSSELL, PHD, LLC
Practice Location Address:

2320 W COLORADO AVE STE 112
COLORADO SPRINGS, CO
80904-3354

Practice Phone: 719-377-5493
Practice Fax:

1902895907 — WILLIAM J. HOOVER O.D.
Practice Location Address:

904 PITKIN AVE
GLENWOOD SPRINGS, CO
81601-3354

Practice Phone: 970-945-6011
Practice Fax: 970-945-5627

1346251386 — DR. JENNIFER RYAN ZWELLING O.D.
Practice Location Address:

904 PITKIN AVE
GLENWOOD SPRINGS, CO
81601-3354

Practice Phone: 970-945-6011
Practice Fax:

Directions to “PSYCH NP PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.