Individual provider Active NPI

Rachel Marie Hoadley-Clausen, PH.D

  • Clinical Psychologist
  • Mobile, AL
National Provider Identifier
1235532540
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2168 Issued in AL
Practice address
6720 Grelot Road Suite a
Mobile, AL 36695-2676
Phone
(251) 633-5155
Fax
(251) 633-5125
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2168 AL Primary

Addresses

Primary practice location

6720 Grelot Road Suite a
Mobile, AL 36695-2676

Mailing address

6720 Grelot Road Suite a
Mobile, AL 36695-2676
Phone (251) 633-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200320001576 AL Practitioner - Clinical Psychologist 4082042205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of South Alabama College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kopp Medical LLCGroup PAC ID 7012211626, 4 clinicians

Practice addresses (Care Compare)

6720 Grelot Rd
Suite a
Mobile, AL 36695-2676
Phone (251) 633-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2168ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kopp Medical LLC CurrentSince Jan 13, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachel.hoadley-clausen.1@13188.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1235532540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 GRELOT ROAD SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366952676",
            "telephone_number": "251-633-5155",
            "fax_number": "251-633-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 GRELOT ROAD SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366952676",
            "telephone_number": "251-633-5155",
            "fax_number": "251-633-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOADLEY-CLAUSEN",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-02-04",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "2168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.