NPIMap

Organization Active NPI

Rapha Medical Psych Services

  • Psychiatry Physician
  • Charlottesville, VA
National Provider Identifier
1184518904
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RAPHA MEDICAL PSYCH SERVICES
Practice address
600 Peter Jefferson Pkwy Ste 110
Charlottesville, VA 22911-8835
Phone
(434) 249-9752
Fax
(803) 650-3964
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Tilahun GoshuNPI 1336628551
Title
Owner
Phone
(434) 249-9752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

600 Peter Jefferson Pkwy Ste 110
Charlottesville, VA 22911-8835

Mailing address

179 London CT
Ruckersville, VA 22968-3367
Phone (434) 249-9752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251022003202 VA Part B Supplier - Clinic/Group Practice 0446748313 Receives reassigned benefits from 5 practitioners
Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1184518904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 LONDON CT",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683367",
            "telephone_number": "434-249-9752",
            "fax_number": "803-650-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 110",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-249-9752",
            "fax_number": "803-650-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA MEDICAL PSYCH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "GOSHU",
        "authorized_official_first_name": "TILAHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-249-9752"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.