Healthcare Provider Details

I. General information

NPI: 1780500637
Provider Name (Legal Business Name): JACQUELYN RINALDI PHD PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
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 CIR STE 2
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 TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JACQUELYN ANE RINALDI
Title or Position: LICENSED PSYCHOLOGIST/CEO
Credential: PSY.D.
Phone: 406-518-1933