Individual provider Active NPI

Daniel K. Raker, PSY.D.

  • Clinical Psychologist
  • Grand Junction, CO
National Provider Identifier
1578897898
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0004966 Issued in CO
Practice address
917 Main St Ste 5
Grand Junction, CO 81501-3538
Phone
(970) 275-2778
Fax
(970) 609-0928
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0004966 CO Primary

Addresses

Primary practice location

917 Main St Ste 5
Grand Junction, CO 81501-3538

Mailing address

917 Main St Ste 5
Grand Junction, CO 81501-3538
Phone (970) 275-2778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200708001006 CO Practitioner - Clinical Psychologist 0345523106 Reassigns benefits to 2 organizations
I20221028002110 WA Practitioner - Clinical Psychologist 0345523106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

917 Main St
Suite 5
Grand Junction, CO 81501-3538
Phone (970) 275-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28099CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Slope Psychological Services, PLLC Clinical CurrentSince Apr 8, 2022 Accepting new patients
Family Care Center, LLC CurrentSince Jul 14, 2025 Accepting new patients
Daniel K Raker PSYD Psychological Services PC Clinical Current Accepting new patients
Grand Mesa Spine and Sport, LLC CurrentSince Aug 1, 2020 Accepting new patients
Family Care Center, LLC Clinical CurrentSince Jul 14, 2025 Accepting new patients
Kenneth C. Lewis MD,LLC PastSince Jul 3, 2022 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127

1410 Valley View Dr
Delta, CO 81416

1410 Valley View Dr
Ste 316
Delta, CO 81416

917 Main St
Ste 5
Grand Junction, CO 81501
Phone (970) 275-2778

201 W Park Dr
Grand Junction, CO 81505
Phone (970) 242-0162

7071 W Central Ave
Toledo, OH 43617
Phone 4198431370 ext. 130

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1578897898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 MAIN ST STE 5",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013538",
            "telephone_number": "970-275-2778",
            "fax_number": "970-609-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MAIN ST STE 5",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013538",
            "telephone_number": "970-275-2778",
            "fax_number": "970-609-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKER",
        "first_name": "DANIEL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.