Broadmoor Psychological Services LLC
NPI 1932989522 · Clinical Psychologist · Colorado Springs, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broadmoor Psychological Services LLC is a Clinical Psychologist organization in Colorado Springs, CO (NPI 1932989522).
Provider details
- NPI number
- 1932989522
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Wickizer, Owner(719) 900-1301
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Frequently asked questions
- What is Broadmoor Psychological Services LLC's NPI number?
- Broadmoor Psychological Services LLC's National Provider Identifier (NPI) is 1932989522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadmoor Psychological Services LLC?
- Broadmoor Psychological Services LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Broadmoor Psychological Services LLC located?
- Broadmoor Psychological Services LLC's practice location on file with NPPES is 830 Tenderfoot Hill Rd Ste 150, Colorado Springs, CO 80906-7377.
- What is Broadmoor Psychological Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Broadmoor Psychological Services LLC is (719) 900-1301.
- Does Broadmoor Psychological Services LLC accept Medicare?
- Broadmoor Psychological Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broadmoor Psychological Services LLC?
- The authorized official listed on Broadmoor Psychological Services LLC's NPPES record is Michelle Wickizer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadmoor Psychological Services LLC's NPI active?
- Yes — Broadmoor Psychological Services LLC's NPI (1932989522) is active in the NPPES registry as of the last update on 2026-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.