BUCK JACK LLC
NPI 1225642341
Psychologist in Colorado Springs, CO

Active since September 04, 2020
8540 SCARBOROUGH DR STE 300, COLORADO SPRINGS, CO 80920(719) 822-0900 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Buck Jack Llc NPPES

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

BUCK JACK LLC (NPI 1225642341), doing business as The Shandy Clinic, is a healthcare organization registered as a psychologist in Colorado Springs, Colorado and active in the NPI registry since September 2020. The organization lists William Colt, President, as its authorized official.

NPPES Registry Identity

NPI1225642341
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameBUCK JACK LLC
Location Address8540 SCARBOROUGH DR STE 300Colorado Springs, CO 80920-7581
Mailing Address685 Citadel Dr E Ste 580Colorado Springs, CO 80909-5381 · (719) 597-0822
Organization SubpartNo
Authorized OfficialWilliam ColtPresident · (713) 410-6889
Enumeration DateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
NPI 1225642341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
8540 SCARBOROUGH DR STE 300, Colorado Springs, CO 80920

Other Names 1

Doing Business AsThe Shandy Clinic

Other Identifiers 1

Medicaid9000181601CO

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
8540 SCARBOROUGH DR STE 300
COLORADO SPRINGS, CO 80920
Speech-Language Pathologist
8540 SCARBOROUGH DR STE 300
COLORADO SPRINGS, CO 80920
Occupational Therapist (Pediatrics)
8540 SCARBOROUGH DR STE 300
COLORADO SPRINGS, CO 80920
Speech-Language Pathologist
8540 SCARBOROUGH DR STE 300
COLORADO SPRINGS, CO 80920
Nurse Practitioner (Family)
8540 SCARBOROUGH DR STE 300
COLORADO SPRINGS, CO 80920
Physical Therapist
8540 SCARBOROUGH DR STE 300
COLORADO SPRINGS, CO 80920
Family Medicine
8540 SCARBOROUGH DR STE 300
COLORADO SPRINGS, CO 80920
Occupational Therapist
8540 SCARBOROUGH DR STE 300
COLORADO SPRINGS, CO 80920

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 Buck Jack LLC's NPI number?

The NPI number for Buck Jack LLC is 1225642341. It was assigned to this organization in the NPPES registry on September 4, 2020. The provider is doing business as The Shandy Clinic.

Where is Buck Jack LLC located?

Buck Jack LLC is located at 8540 Scarborough Dr Ste 300, Colorado Springs, CO 80920. The listed phone number is (719) 822-0900.

What is Buck Jack LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Buck Jack LLC was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.