Rashidat Akinyemi, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2006-56 Issued in KY

Practice address

300 E. Hospital Road
Ft. Gordon, GA 30905

Phone

(706) 787-3143

NPI assigned

Oct 23, 2006

Last updated

Apr 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Timmber Services LLC

  • Clinical Psychologist
  • Grovetown, GA
  • NPI 1841126794
  NPD Authorized official
• Northern Kentucky Mental Health Mental Retardation Regional Board

  dba Northkey Community Care

  • Psychiatric Hospital
  • Covington, KY
  • NPI 1679775514
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1366525743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7459 BURLINGTON PIKE",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421553",
            "telephone_number": "859-282-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E. HOSPITAL ROAD",
            "city": "FT. GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINYEMI",
        "first_name": "RASHIDAT",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "2006-56",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "184607",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dariam Acevedo Santiago
• Benjamin Adkins
• John William Albrecht, PHD
• Nettie N Albrecht, PH.D.
• Kaitlyn Ale, PA-C
• Michael Paul Almeter, LPC, MAC
• AMC Eisenhower (Ft Eisenhower Connelly Pharmacy)

• Clinical Psychologist in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.