Active NPI
Michael Rakow, PSY.D
- Clinical Psychologist
- Fort Carson, CO
National Provider Identifier
1053777565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 595
- Practice address
- 7490 Sutherland Circle
Fort Carson, CO 80913 - Phone
- (719) 526-5647
- NPI assigned
- Jan 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 595 | WY | Primary |
Addresses
Primary practice location
7490 Sutherland Circle
Fort Carson, CO 80913
Mailing address
7490 Sutherland Circle
Fort Carson, CO 80913
Phone (719) 526-5647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1053777565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7490 SUTHERLAND CIRCLE",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-5647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7490 SUTHERLAND CIRCLE",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-5647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKOW",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-13",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.