Healthcare Provider Details

I. General information

NPI: 1083253454
Provider Name (Legal Business Name): JACQUELYN RINALDI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47855 GALLATIN RD
GALLATIN GATEWAY MT
59730-8681
US

IV. Provider business mailing address

235 SNOWY MOUNTAIN CIRCLE SUITE 2, PMB 123
GALLATIN GATEWAY MT
59730-8738
US

V. Phone/Fax

Practice location:
  • Phone: 406-518-1933
  • Fax: 602-755-1819
Mailing address:
  • Phone: 702-610-2030
  • Fax: 602-755-1819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY1318
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2018-000823689
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: