Michael H Rathjens, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4666 Issued in FL

Practice address

12012 South Shore Blvd.
Suite 108
Wellington, FL 33414

Phone

(561) 790-7975

Fax

(561) 790-4788

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael H. Rathjens, Psy.D, PA

  • Clinical Psychologist
  • Wellington, FL
  • NPI 1609147479
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073612404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4682 FOXVIEW PLACE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334673510",
            "telephone_number": "561-790-7975",
            "fax_number": "561-790-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 SOUTH SHORE BLVD.",
            "address_2": "SUITE 108",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-790-7975",
            "fax_number": "561-790-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHJENS",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramshore LLC (Wellington Pharmacy and Compounding Center)
• Christina Marie Rankin, MD
• Sapna Rao
• Roxanna Rasekhi, D.O.
• Kyle Blake Rathjens
• Sergio Rauchwerger, DMD
• Raven Anesthesia LLC
• Raven Labs, LLC
• Tanmya Stuti Ravi, D.M.D
• Recovery Resort Group LLC

• Clinical Psychologist in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.