Individual provider Active NPI

Raina M Denmark, PSY.D

  • Psychologist
  • Fort Collins, CO
National Provider Identifier
1497726111
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1618 Issued in CO
Practice address
112 S College Ave
Ste.200
Fort Collins, CO 80524-3184
Phone
(970) 495-6564
Fax
(970) 482-7300
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1618 CO Primary

Addresses

Primary practice location

112 S College Ave
Ste.200
Fort Collins, CO 80524-3184

Mailing address

112 S College Ave
Ste.200
Fort Collins, CO 80524-3184
Phone (970) 495-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000927 CO Practitioner - Clinical Psychologist 8426072968 Practice locations: Fort Collins, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

913 Shire Court
Fort Collins, CO 80526-1987

913 Shire CT
Fort Collins, CO 80526-1987
Phone (970) 988-6860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1618COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497726111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S COLLEGE AVE",
            "address_2": "STE.200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243184",
            "telephone_number": "970-495-6564",
            "fax_number": "970-482-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S COLLEGE AVE",
            "address_2": "STE.200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243184",
            "telephone_number": "970-495-6564",
            "fax_number": "970-482-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENMARK",
        "first_name": "RAINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.