1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Psychologist
  6. NPI Profile

PICKETT PSYCHOLOGICAL SERVICES, LLC
NPI 1730967712
Psychologist - Clinical in Colorado Springs, CO

Active since September 20, 2023
5360 N ACADEMY BLVD STE 220, COLORADO SPRINGS, CO 80918(719) 598-3585(720) 358-2674 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pickett Psychological Services, Llc NPPES

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

PICKETT PSYCHOLOGICAL SERVICES, LLC (NPI 1730967712) is a healthcare organization registered as a clinical in Colorado Springs, Colorado and active in the NPI registry since September 2023. The organization lists Clinton Pickett, Owner, as its authorized official.

NPPES Registry Identity

NPI1730967712
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePICKETT PSYCHOLOGICAL SERVICES, LLC
Location Address5360 N ACADEMY BLVD STE 220Colorado Springs, CO 80918-4038
Mailing Address1259 Lake Plaza Dr Ste 255Colorado Springs, CO 80906-3504 · (719) 598-3585 · Fax (720) 358-2674
Phone(719) 598-3585
Fax(720) 358-2674
Organization SubpartNo
Authorized OfficialClinton PickettOwner · (832) 763-0823
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1730967712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5360 N ACADEMY BLVD STE 220, Colorado Springs, CO 80918
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pickett Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Pickett Psychological Services, LLC, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Psychologist8
Mental Health Counselor2
Clinical Social Worker1

Clinicians, nearest first (11)

Robin Wolfe
Clinical Social Worker
NPI 1356021604
2925 PROFESSIONAL PL STE 101
Colorado Springs, CO 80904
(719) 776-6850
✔ PECOS4.5 mi
Christopher Estep, PSYD, LPC,
Clinical Psychologist
NPI 1154519569
875 W MORENO AVE
Colorado Springs, CO 80905
(719) 572-6200
✔ PECOS6.4 mi
Christopher Costanza, PSYD
Clinical Psychologist
NPI 1366065419
1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906
(719) 598-3585
✔ PECOS7.8 mi
Trisha Jeffers, PHD
Clinical Psychologist
NPI 1568130599
1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906
(719) 598-3585
✔ PECOS✔ Accepts Medicare7.8 mi
Angelina Johnson, PSY.D., LP
Clinical Psychologist
NPI 1487084695
1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906
(719) 598-3585
✔ PECOS7.8 mi
Steven Newman, PSY.D.
Clinical Psychologist
NPI 1760543979
1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906
(719) 598-3585
✔ PECOS✔ Accepts Medicare7.8 mi
Samantha Perez, LPC
Mental Health Counselor
NPI 1669286167
1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906
(917) 921-0369
✔ PECOS7.8 mi
Clinton Pickett
Clinical Psychologist
NPI 1184088197
1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906
(832) 509-7564
✔ PECOS✔ Accepts Medicare7.8 mi
Sarah Self
Mental Health Counselor
NPI 1417741000
1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906
(719) 598-3585
✔ PECOS7.8 mi
Abraham Spies
Clinical Psychologist
NPI 1215750203
1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906
(719) 598-3585
✔ PECOS✔ Accepts Medicare7.8 mi
Melanie Hoffman
Clinical Psychologist
NPI 1891286449
327 COLORADO AVE
Pueblo, CO 81004
(719) 948-7120
✔ PECOS✔ Accepts Medicare46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pickett Psychological Services, LLC's NPI number?

The NPI number for Pickett Psychological Services, LLC is 1730967712. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Pickett Psychological Services, LLC located?

Pickett Psychological Services, LLC is located at 5360 N Academy Blvd Ste 220, Colorado Springs, CO 80918. The listed phone number is (719) 598-3585.

What is Pickett Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Pickett Psychological Services, LLC enrolled in Medicare?

Yes. Pickett Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pickett Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Pickett Psychological Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (8), Mental Health Counselor (2) and Clinical Social Worker (1). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pickett Psychological Services, LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.