PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC – NPI #1497605935
Psychiatry & Neurology

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC is a psychiatry & neurologist located in PARKER, CO. NPPES has assigned the NPI number 1497605935 to PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC on February 03, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0402X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC below.

NPI Profile for
PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC

NPI Number
1497605935
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC
Primary location
9399 CROWN CREST BLVD STE 350
PARKER, CO 80138-8542
Phone: (303) 226-7230 Fax: (833) 438-0775
Mailing address
9235 N UNION BLVD STE 150334
COLORADO SPRINGS, CO 80920-7831
Phone: (303) 226-7230 Fax:
Organization Subpart
No
Authorized Official
ALICIA LICANO
CREDENTIALING MANAGER
Phone: (719) 638-1122
Updated
Certification Date
Feb 03, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0402X
- Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.