Active NPI
Melisa Rose Racette, PSY.D.
- Psychologist
- Colorado Springs, CO
National Provider Identifier
1689224503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY.0005533
- Practice address
- 1802 Chapel Hills Dr Ste G
Colorado Springs, CO 80920-3736 - Phone
- (719) 203-2894
- Fax
- (719) 982-7845
- NPI assigned
- Sep 12, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC0103600 | CO | |
| Psychologist | 103T00000X | PSY.0005533 | CO | Primary |
Addresses
Primary practice location
1802 Chapel Hills Dr Ste G
Colorado Springs, CO 80920-3736
Mailing address
1802 Chapel Hills Dr Ste G
Colorado Springs, CO 80920-3736
Phone (719) 203-2894
Other names 1
- Dr. Melisa Rose Obert
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC0103600 | CO | MD | Mental Health Counselor |
| PSY.0005533 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Clear View-Racette Psychological | Current | Accepting new patients |
Locations
1802 Chapel Hills Dr
Ste G
Colorado Springs, CO 80920
Phone (719) 203-2894
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Colorado Springs, CO
- NPI 1740934280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1689224503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 CHAPEL HILLS DR STE G",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203736",
"telephone_number": "719-203-2894",
"fax_number": "719-982-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 CHAPEL HILLS DR STE G",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203736",
"telephone_number": "719-203-2894",
"fax_number": "719-982-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACETTE",
"first_name": "MELISA",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC0103600",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0005533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISA",
"last_name": "OBERT",
"middle_name": "ROSE",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 20, 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.