MEDICARE: CHRISTINE CABALIC PMHNP

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	APN.1001190-NP	CO

General Provider Information

NPI Number	:	1952277675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CABALIC PMHNP

Provider Business Mailing Address
First Line	:	2920 N ACADEMY BLVD STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-5359
Country	:	US
Telephone Number	:	719-600-1476
Fax Number	:	719-362-3312

Provider Business Practice Location Address
First Line	:	2920 N ACADEMY BLVD STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-5359
Country	:	US
Telephone Number	:	719-600-1476
Fax Number	:	719-362-3312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	02/26/2026

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