Racquel T Ortiz

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Practice address

5010 W Broad St Apt 3407
Sugar Hill, GA 30518-4219

Phone

(843) 929-7805

NPI assigned

Apr 23, 2021

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1184206609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 W BROAD ST APT 3407",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305184219",
            "telephone_number": "843-929-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 W BROAD ST APT 3407",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305184219",
            "telephone_number": "843-929-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "RACQUEL",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423105203638",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy Nguyen, FNP-C
• Tracy Nix, MS, CCC-SLP
• Mabel I Njoku, MD
• Novu Wellness LLC
• Omniclaim LTD Co
• Uche Osakwe, RN
• Mary Eva Ostaszewski, FNP-C
• Aubree' Ann Parent, M.S., CCC-SLP
• Dimple S Patel, DMD
• Dipak B Patel, M.D.

• Group Psychotherapy Psychologist in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Group Psychotherapy Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.