Karen D Rasile PHD PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

24055 Issued in TX

Legal business name

KAREN D RASILE PHD PLLC

Practice address

105 E Main St
Brenham, TX 77833-3849

Phone

(979) 530-8616

Fax

(979) 421-6039

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Karen R Rasile

Title

Owner

Phone

(979) 530-8616

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• KAREN D RASILE Former legal business name

Locations

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1104183706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2346",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778342346",
            "telephone_number": "979-530-8616",
            "fax_number": "979-421-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333849",
            "telephone_number": "979-530-8616",
            "fax_number": "979-421-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN D RASILE PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "RASILE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-530-8616"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131122707",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87277A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000K98HZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAREN D RASILE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychologist in Brenham, TX
• Providers in Brenham, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.