MEDICARE: CRESTPOINT PSYCH SERVICES

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1851249007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRESTPOINT PSYCH SERVICES

Provider Business Mailing Address
First Line	:	5755 KITTERY DR # 31211
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-3529
Country	:	US
Telephone Number	:	719-492-5548
Fax Number	:	719-249-3541

Provider Business Practice Location Address
First Line	:	5755 KITTERY DR # 31211
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-3529
Country	:	US
Telephone Number	:	719-492-5548
Fax Number	:	719-249-3541

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AUDREY RAMOS
Credential	:	PHD
Telephone Number	:	719-492-5548

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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