Rebecca V. Degraaf LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

REBECCA V. DEGRAAF LLC

Doing business as

Rebecca V. DeGraaf LLC

Practice address

3610 Buttonwood Dr Ste 200
Columbia, MO 65201-3721

Phone

(573) 886-8982

Fax

(573) 886-8901

NPI assigned

Oct 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rebecca V Degraaf, PH.D.NPI 1114018801

Title

Licensed Psychologist

Phone

(573) 886-8982

Specialties & licenses 1

Addresses

Other names 1

• Rebecca V. DeGraaf LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Vantil Degraaf, PHD

  • Psychologist
  • Columbia, MO
  • NPI 1114018801
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1134900053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 BUTTONWOOD DR STE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013721",
            "telephone_number": "573-886-8982",
            "fax_number": "573-886-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 BUTTONWOOD DR STE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013721",
            "telephone_number": "573-886-8982",
            "fax_number": "573-886-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA V. DEGRAAF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "DEGRAAF",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "573-886-8982",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca V. DeGraaf LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila B Ray, CRNA
• Terry Lynn Ray, D.O.
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• Garry Paul Reams, M.D.
• Robert C Reams, MD
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• Reclaim Chiropractic
• Agara S Reddy, MD
• Lindsey Michelle Redington, NP
• Lara Redlinger

• Counseling Psychologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Counseling Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.