Active NPI
Racquel Rodney, MA PSYCHOLOGY
- Specialist
- Perth Amboy, NJ
National Provider Identifier
1336402270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1778010
- Practice address
- 116 1/2 Rector St
Perth Amboy, NJ 08861 - Phone
- (561) 707-5621
- Fax
- (732) 661-6997
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1778010 | NY | Primary |
Addresses
Primary practice location
116 1/2 Rector St
Perth Amboy, NJ 08861
Mailing address
116 1/2 Rector St
Perth Amboy, NJ 08861
Phone (561) 707-5621
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1778010 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RNR Behavioral Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Perth Amboy, NJ
- NPI 1003208273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1336402270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 1/2 RECTOR ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "08861",
"telephone_number": "561-707-5621",
"fax_number": "732-661-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 1/2 RECTOR ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "08861",
"telephone_number": "561-707-5621",
"fax_number": "732-661-6997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODNEY",
"first_name": "RACQUEL",
"credential": "MA PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1778010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.