Daniel Rachlin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2472 Issued in TN

Practice address

130 Hillcrest Dr
Suite 107
Clarksville, TN 37043-5000

Phone

(931) 553-8500

Fax

(931) 553-8544

NPI assigned

Aug 10, 2005

Last updated

Feb 11, 2019By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1124029251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLCREST DR STE 103",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435064",
            "telephone_number": "931-542-6463",
            "fax_number": "931-542-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILLCREST DR",
            "address_2": "SUITE 107",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435000",
            "telephone_number": "931-553-8500",
            "fax_number": "931-553-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHLIN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL",
            "identifier": "271312000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4040536",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alesha Marie Quinn, PT, DPT
• Sarah Nicole Quinn
• Qusayy M. Godbolt (Godbolt Behavioral Consulting)
• Ashley Nicole Rabuck, OTD, OTR/L
• Chelsie Raby
• Andrea Rader
• Radiology Associates
• Gary Earle Radish, O.D.
• Rainbow Enterprise PLC
• Rainbow Kids Clinic

• Psychologist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.