Individual provider Active NPI

Michael J Ratheal, ED.D.

  • Psychologist
  • Lubbock, TX
National Provider Identifier
1003815341
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2-3871 Issued in TX
Practice address
5502 58TH St
#600
Lubbock, TX 79414-2000
Phone
(806) 792-3808
Fax
(806) 792-1506
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2-3871 TX Primary

Addresses

Primary practice location

5502 58TH St
#600
Lubbock, TX 79414-2000

Mailing address

5502 58TH St
#600
Lubbock, TX 79414-2000
Phone (806) 792-3808

Other identifiers 1

IdentifierTypeStateIssuer
G16COtherTXBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000114 TX Practitioner - Clinical Psychologist 0840585758 Practice locations: Lubbock, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Texas Tech University Health Science Center School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5502 58TH St
Suite 600
Lubbock, TX 79414-2087
Phone (806) 792-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2-3871TXMDPsychologist
23871TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003815341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 58TH ST",
            "address_2": "#600",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794142000",
            "telephone_number": "806-792-3808",
            "fax_number": "806-792-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 58TH ST",
            "address_2": "#600",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794142000",
            "telephone_number": "806-792-3808",
            "fax_number": "806-792-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHEAL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-3871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "G16C",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.