Rachael Mariel Potthast, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

559 Zor Shrine PL
Madison, WI 53719-2068

Phone

(727) 580-9707

NPI assigned

May 5, 2022

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 names 1

• Rachael Mariel Potthast Baker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1396481180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 PARMENTER ST APT 117",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622687",
            "telephone_number": "727-580-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 ZOR SHRINE PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192068",
            "telephone_number": "727-580-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTHAST",
        "first_name": "RACHAEL",
        "middle_name": "MARIEL",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "BAKER",
            "middle_name": "MARIEL POTTHAST",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Ad Potter, MD
• John Potter
• Mandy Marie Potter
• Robin Potter, R. D
• Victoria Potter, APSW
• Logan Potvin
• Isaac James Poulson, MD
• Sheida Pourdashti, MD
• Allyson Powell
• Andrew Hartke Powell, LCSW

• Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.