Active NPI
Deirdre Danette Rainer, PH.D.
- Clinical Psychologist
- Lander, WY
National Provider Identifier
1982825337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 1239
- Practice address
- 550 Main St
Suite 4
Lander, WY 82520-3089 - Phone
- (307) 349-5027
- Fax
- (307) 335-9973
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 342 | WY | |
| Clinical Psychologist | 103TC0700X | PSY 9892 | CA | |
| Clinical Psychologist | 103TC0700X | PSY 1239 | HI | Primary |
Addresses
Primary practice location
550 Main St
Suite 4
Lander, WY 82520-3089
Mailing address
830 S 5TH St
Lander, WY 82520-3633
Phone (307) 349-5027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118897600 | Medicaid | WY |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9892 | CA | MD | Clinical Psychologist |
| PSY 1239 | HI | MD | Clinical Psychologist |
| 342 | WY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1982825337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 S 5TH ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825203633",
"telephone_number": "307-349-5027",
"fax_number": "307-335-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 MAIN ST",
"address_2": "SUITE 4",
"city": "LANDER",
"state": "WY",
"postal_code": "825203089",
"telephone_number": "307-349-5027",
"fax_number": "307-335-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINER",
"first_name": "DEIRDRE",
"middle_name": "DANETTE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "342",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 9892",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY 1239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118897600",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.