Robert Edward Rajewski, PSYD HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040389A Issued in IN

Practice address

1441 E 84TH PL
Merrillville, IN 46410-6451

Phone

(219) 736-9115

Fax

(219) 794-2000

NPI assigned

Aug 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1124028154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 LOUISIANNA ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-757-1928",
            "fax_number": "219-757-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 E 84TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106451",
            "telephone_number": "219-736-9115",
            "fax_number": "219-794-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJEWSKI",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "credential": "PSYD HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040389A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100342770A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "000000202003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Race
• John P Rachoy, DPM
• Catina Fionne Radford, CMT
• Amilia Marie Radocaj
• Shirley H Rainford, BA
• Veronica Ralick, O.D.
• Johannah Ramaker, MA LMHC
• Melissa Yousefi Ramandi, DMD
• Jose Lorenzo Ramirez, MD
• Gina Ramos

• Clinical Psychologist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.