Tahlia Rainbolt, PHD, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1308 Issued in NM

Legal business name

TAHLIA RAINBOLT, PHD, LLC

Practice address

460 Saint Michaels Dr
Suite 505
Santa Fe, NM 87505-7619

Phone

(505) 989-3340

NPI assigned

Oct 23, 2014

Last updated

Oct 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tahlia Rainbolt, PH.D.NPI 1861892465

Title

Owner

Phone

(505) 989-3340

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tahlia Rainbolt, PH.D.

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1861892465
  Authorized official Same address or phone

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1023413788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR",
            "address_2": "SUITE 505",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR",
            "address_2": "SUITE 505",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057619",
            "telephone_number": "505-989-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHLIA RAINBOLT, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "RAINBOLT",
        "authorized_official_first_name": "TAHLIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-989-3340",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37686232",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul A. Tachau, O.D.
• Felice Tacktill
• Alyssa Tafoya
• Peter J Tafoya, DDS
• Vincent Xavier Tafoya Jr.
• Melvin H Takaki
• Tal Therapies LLC (Harvest Moon Therapy)
• Destinee M Talamante
• Marc Alan Talbert, MA LMHC
• Mary-Anne Talbot

• Community/Behavioral Health Agency in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.