Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle Wickizer, PSYD

Individual provider Clinical Psychologist · NPI 1689339905

Michelle Wickizer, PSYD is a Clinical Psychologist in Colorado Springs, Colorado. Qualified in 2018, 8 years ago. Practices with Broadmoor Psychological Services LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
In the registry since
2021
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1229 Lake Plaza Dr Ste A
Colorado Springs, CO 80906-7401
Phone: (719) 313-2578
Fax: (719) 735-4952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY.0005676 (CO)

Record details

NPI number1689339905
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Broadmoor Psychological Services Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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