Active NPI
Clair Rummel, PH.D.
- Clinical Psychologist
- Aspen, CO
National Provider Identifier
1659714236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60390307
- Practice address
- 210 S Galena St Ste 24
Aspen, CO 81611-1957 - Phone
- (970) 236-6394
- NPI assigned
- Apr 12, 2013
- Sex
- Female
- Sole proprietor
- No
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 | PY60390307 | WA | Primary |
Addresses
Primary practice location
210 S Galena St Ste 24
Aspen, CO 81611-1957
Mailing address
113 Indica Way
Carbondale, CO 81623-2362
Phone (775) 224-8858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 29, 2024 through Oct 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60390307 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663977600000",
"number": "1659714236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 INDICA WAY",
"city": "CARBONDALE",
"state": "CO",
"postal_code": "816232362",
"telephone_number": "775-224-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S GALENA ST STE 24",
"city": "ASPEN",
"state": "CO",
"postal_code": "816111957",
"telephone_number": "970-236-6394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMMEL",
"first_name": "CLAIR",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2022-09-24",
"certification_date": "2022-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60390307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aspen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.