Active NPI
Rebecca Clare Gaines, PHD
- Psychologist
- Loveland, CO
National Provider Identifier
1053939439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6583
- Practice address
- 4575 Byrd Dr
Loveland, CO 80538-7198 - Phone
- (970) 593-3300
- NPI assigned
- Jul 11, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6583 | CO | Primary |
Addresses
Primary practice location
4575 Byrd Dr
Loveland, CO 80538-7198
Mailing address
4575 Byrd Dr
Loveland, CO 80538-7198
Phone (970) 593-3300
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6583 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1053939439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 BYRD DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805387198",
"telephone_number": "970-593-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4575 BYRD DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805387198",
"telephone_number": "970-593-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "REBECCA",
"middle_name": "CLARE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "6583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.