Provider Demographics
NPI:1619335627
Name:STEVEN D. NEWMAN, PSY.D, ABPP, PC
Entity Type:Organization
Organization Name:STEVEN D. NEWMAN, PSY.D, ABPP, PC
Other - Org Name:NEUROCOGNITIVE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, ABPP
Authorized Official - Phone:307-220-9099
Mailing Address - Street 1:6050 STETSON HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-3562
Mailing Address - Country:US
Mailing Address - Phone:307-220-9099
Mailing Address - Fax:866-287-5634
Practice Address - Street 1:1920 THOMES AVE STE 310
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3545
Practice Address - Country:US
Practice Address - Phone:307-220-9099
Practice Address - Fax:866-287-5634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY395103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty