Organization Active NPI

Western Slope Psychological Services, PLLC

  • Clinical Psychologist
  • Grand Junction, CO
National Provider Identifier
1952051864
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WESTERN SLOPE PSYCHOLOGICAL SERVICES, PLLC
Practice address
917 Main St Ste 5
Grand Junction, CO 81501-3538
Phone
(970) 275-2778
Fax
(970) 609-0928
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Dr. Daniel K Raker, PSYDNPI 1578897898
Title
Clinical Director
Phone
(970) 275-2778

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220422000830 CO Part B Supplier - Clinic/Group Practice 4789071648 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

1410 Valley View Dr
Delta, CO 81416

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

1541 Oxbow Dr
Unit 1475
Montrose, CO 81401
Phone (970) 615-0949

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1952051864",
    "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"
        },
        {
            "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": {
        "organization_name": "WESTERN SLOPE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "RAKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "970-275-2778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.