Healthcare Provider Details

I. General information

NPI: 1154101970
Provider Name (Legal Business Name): PEAK FORENSIC PSYCH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 N ACADEMY BLVD STE 240
COLORADO SPRINGS CO
80918-4090
US

IV. Provider business mailing address

5360 N ACADEMY BLVD STE 240
COLORADO SPRINGS CO
80918-4090
US

V. Phone/Fax

Practice location:
  • Phone: 719-725-7235
  • Fax:
Mailing address:
  • Phone: 719-725-7235
  • Fax: 303-200-7353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SCOTT MICHAEL VANNESS
Title or Position: CEO
Credential:
Phone: 719-651-5102