A Clear View-Racette Psychological

Organization Active NPI Clinical Psychologist · Colorado Springs, CO

NPI 1740934280 · NPPES record last updated Jan 20, 2023

Key facts

NPI
1740934280
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
Legal business name
A CLEAR VIEW-RACETTE PSYCHOLOGICAL
Practice address
1802 Chapel Hills Dr Ste G
Colorado Springs, CO 80920-3736
Phone
(719) 203-2894
Fax
(719) 982-7845
NPI assigned
Feb 3, 2022
Organization subpart
No

Authorized official

Name
Melisa Rose Racette NPI 1689224503
Title
Owner
Phone
(719) 203-2894

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1802 Chapel Hills Dr
Ste G
Colorado Springs, CO 80920
Phone (719) 203-2894

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC0700X Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 20, 2023.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1740934280",
    "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": {
        "organization_name": "A CLEAR VIEW-RACETTE PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "RACETTE",
        "authorized_official_first_name": "MELISA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-203-2894"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Clinical Psychologist in Colorado

Sources for this page

Verify at the official NPI Registry.