Craig Harold Ravesloot, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

298 Issued in MT

Practice address

101 E Broadway St Ste 310
Missoula, MT 59802-4510

Phone

(406) 531-5882

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Haleh Nekoorad-Long,M.D.,P.C.

  • Specialist
  • Longmont, CO
  • NPI 1609047430
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1841324738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EDDY AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012803",
            "telephone_number": "406-531-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY ST STE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024510",
            "telephone_number": "406-531-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVESLOOT",
        "first_name": "CRAIG",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ann Rauch, M.D.
• Kylie Rauch, PHARMD
• Alan Jay Rauckhorst, DMD
• Raurie Birch Psychological Services, PLLC
• Stephanie Raven, ND
• Eric A. Ravitz, D.O.
• Heather Ray, AAS-HIS
• Nicole Raymond, LCSW
• RCHP Billings - Missoula LLC
• RCHP Billings - Missoula LLC

• Clinical Psychologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.