Active NPI
Rachael M Stclaire, PSYD
- Clinical Psychologist
- Littleton, CO
National Provider Identifier
1265637110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1546
- Practice address
- 5626 S Crocker St
Littleton, CO 80120-1204 - Phone
- (720) 220-5770
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY1546 | CO | Primary |
Addresses
Primary practice location
5626 S Crocker St
Littleton, CO 80120-1204
Mailing address
5626 S Crocker St
Littleton, CO 80120-1204
Phone (720) 220-5770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006749 | Other | CO | KAISER COMMERCIAL NUMBER |
| 07154602 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1546 | CO | MD | Clinical Psychologist |
| 1546 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1265637110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 S CROCKER ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801201204",
"telephone_number": "720-220-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5626 S CROCKER ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801201204",
"telephone_number": "720-220-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STCLAIRE",
"first_name": "RACHAEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY1546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "006749",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07154602",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.