Active NPI
Melissa May Racho, PHD
- Clinical Psychologist
- Colorado Springs, CO
National Provider Identifier
1447894472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5109
- Practice address
- 3462 Briargate Blvd
Colorado Springs, CO 80920-4168 - Phone
- (719) 726-0094
- NPI assigned
- Nov 2, 2019
- 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 | 5109 | CO | Primary |
Addresses
Primary practice location
3462 Briargate Blvd
Colorado Springs, CO 80920-4168
Mailing address
6145 Methusela Rd
Manitou Springs, CO 80829-3825
Phone (720) 209-1815
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 |
|---|---|---|---|
| 5109 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572652800000",
"number": "1447894472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6145 METHUSELA RD",
"city": "MANITOU SPRINGS",
"state": "CO",
"postal_code": "808293825",
"telephone_number": "720-209-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3462 BRIARGATE BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204168",
"telephone_number": "719-726-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACHO",
"first_name": "MELISSA",
"middle_name": "MAY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-02",
"last_updated": "2019-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "5109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.