Provider Demographics
NPI:1497597751
Name:CURA PSYCHOLOGY
Entity type:Organization
Organization Name:CURA PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHD
Authorized Official - Prefix:
Authorized Official - First Name:MY HAO
Authorized Official - Middle Name:
Authorized Official - Last Name:PANTUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-428-0541
Mailing Address - Street 1:1880 OFFICE CLUB PT STE 141
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-5013
Mailing Address - Country:US
Mailing Address - Phone:719-428-0541
Mailing Address - Fax:
Practice Address - Street 1:1880 OFFICE CLUB PT STE 141
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-5013
Practice Address - Country:US
Practice Address - Phone:719-428-0541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-08
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1942951207Medicaid