OrganizationActive
Buck Jack LLC
NPI 1558975029 · Psychologist · Fountain, CO
Buck Jack LLC is a Psychologist organization in Fountain, CO (NPI 1558975029).
Provider details
- NPI number
- 1558975029
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- William Colt, President(713) 410-6889
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
901 N Santa Fe Ave
Fountain, CO 80817-1738
Phone: (719) 822-0550
Street-level locationGet directions
Mailing address
685 Citadel Dr E Ste 580
Colorado Springs, CO 80909-5381
Other names (DBA / former)
- Doing business as
- The Shandy Clinic
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2020-09-02
- Certified
- 2020-08-28
Frequently asked questions
- What is Buck Jack LLC's NPI number?
- Buck Jack LLC's National Provider Identifier (NPI) is 1558975029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Buck Jack LLC?
- Buck Jack LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Buck Jack LLC located?
- Buck Jack LLC's practice location on file with NPPES is 901 N Santa Fe Ave, Fountain, CO 80817-1738.
- What is Buck Jack LLC's phone number?
- The practice phone number listed in the NPPES registry for Buck Jack LLC is (719) 822-0550.
- Who is the authorized official for Buck Jack LLC?
- The authorized official listed on Buck Jack LLC's NPPES record is William Colt, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Buck Jack LLC's NPI active?
- Yes — Buck Jack LLC's NPI (1558975029) is active in the NPPES registry as of the last update on 2020-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.