David Raque, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY000413 Issued in GA

Practice address

11B Lenox Pointe NE
Atlanta, GA 30324-3171

Phone

(706) 455-2492

Fax

(706) 492-5714

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Play Therapy and Counseling Center of North Georgia, LLC

  • Clinical Social Worker
  • Blairsville, GA
  • NPI 1750524781
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1326108648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "MINERAL BLUFF",
            "state": "GA",
            "postal_code": "305590429",
            "telephone_number": "706-455-2492",
            "fax_number": "704-492-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11B LENOX POINTE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243171",
            "telephone_number": "706-455-2492",
            "fax_number": "706-492-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAQUE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY000413",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY000413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PSY000413",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Rapp, PA-C
• Whitney A Rapp, CNM
• Anna Olivia Rappaport
• Mark Rappaport, MD
• Neil Bruce Rappaport, PH.D.
• George Raschbaum, MD
• Angela Bowen Rash
• Amarah Rashad, CF-SLP
• Chawntile Rasheed
• Syed M Rasheed, PA

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.