Active NPI
Rachael Maia Yates, PH.D.
- Clinical Neuropsychologist
- Campbellsville, KY
National Provider Identifier
1235574831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 241346
- Practice address
- 50 Gene Cash Road
Campbellsville, KY 42718 - Phone
- (858) 229-2424
- NPI assigned
- May 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 241346 | KY | Primary |
Addresses
Primary practice location
50 Gene Cash Road
Campbellsville, KY 42718
Mailing address
7250 Old Lebanon Rd
Campbellsville, KY 42718-8074
Phone (858) 229-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241346 | KY | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1235574831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7250 OLD LEBANON RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427188074",
"telephone_number": "858-229-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 GENE CASH ROAD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "42718",
"telephone_number": "858-229-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "RACHAEL",
"middle_name": "MAIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "KY",
"license": "241346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.