Provider Demographics
NPI:1265637110
Name:STCLAIRE, RACHAEL M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:M
Last Name:STCLAIRE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5626 S CROCKER ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1204
Mailing Address - Country:US
Mailing Address - Phone:720-220-5770
Mailing Address - Fax:
Practice Address - Street 1:5626 S CROCKER ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1204
Practice Address - Country:US
Practice Address - Phone:720-220-5770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY1546103TC0700X
CO1546103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO006749OtherKAISER COMMERCIAL NUMBER
CO07154602Medicaid
COCK11134Medicare PIN
COP21042Medicare UPIN
COAAA1784Medicare PIN
COC6749Medicare PIN