PEDIATRIC & FAMILY PSYCHIATRY LLC
NPI 1174256465
Nurse Practitioner - Psychiatric/Mental Health in Colorado Springs, CO

Active since July 05, 2022
4740 FLINTRIDGE DR STE 220O, COLORADO SPRINGS, CO 80918(719) 407-3312 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Jun 14, 2023, Oct 5, 2022 and 1 more (4 updates tracked since 2022).

About Pediatric & Family Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC & FAMILY PSYCHIATRY LLC (NPI 1174256465) is a healthcare organization registered as a psychiatric/mental health in Colorado Springs, Colorado and active in the NPI registry since July 2022. The organization lists Tina Nance, Owner/ Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1174256465
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePEDIATRIC & FAMILY PSYCHIATRY LLC
Location Address4740 FLINTRIDGE DR STE 220OColorado Springs, CO 80918-4273
Mailing Address4740 Flintridge Dr Ste 220oColorado Springs, CO 80918-4273 · (719) 407-3312
Organization SubpartNo
Authorized OfficialTina NanceOwner/ Pmhnp-bc · (719) 407-3312
Enumeration DateJuly 5, 2022
Last NPPES UpdateDecember 21, 20234 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
NPI 1174256465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4740 FLINTRIDGE DR STE 220O, Colorado Springs, CO 80918

Other Identifiers 2

Medicaid9000176721CO
Other06D2265433CO · Clia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2265433

Pediatric & Family Psychiatry, LLC · Colorado Springs, CO
Expired · Jul 26, 2026
CLIA Number06D2265433
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorTina Nance
Laboratory Phone(719) 407-3312
Laboratory LocationPediatric & Family Psychiatry, LLC4760 Flintridge Dr, Suite 220-O, Colorado Springs, CO 80918
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
4740 FLINTRIDGE DR STE 220O
COLORADO SPRINGS, CO 80918

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric & Family Psychiatry LLC's NPI number?

The NPI number for Pediatric & Family Psychiatry LLC is 1174256465. It was assigned to this organization in the NPPES registry on July 5, 2022.

Where is Pediatric & Family Psychiatry LLC located?

Pediatric & Family Psychiatry LLC is located at 4740 Flintridge Dr Ste 220O, Colorado Springs, CO 80918. The listed phone number is (719) 407-3312.

What is Pediatric & Family Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Pediatric & Family Psychiatry LLC was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.