Giles Dean Rainwater, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0002525 Issued in FL

Practice address

2210 Front St
Suite 208
Melbourne, FL 32901-7360

Phone

(321) 729-0080

Fax

(321) 951-9508

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1437254901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 FRONT ST",
            "address_2": "SUITE 208",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017360",
            "telephone_number": "321-729-0080",
            "fax_number": "321-951-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 FRONT ST",
            "address_2": "SUITE 208",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017360",
            "telephone_number": "321-729-0080",
            "fax_number": "321-951-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINWATER",
        "first_name": "GILES",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0002525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortlund Ragan, CAA
• Rhu-Jade M Raguindin, M.D.
• Kelly Lynn Rain, PH.D.
• Ashley Taylor Raineri
• Kristen Taylor Rains, NP
• Dmitry Rakita, M.D.
• Richard Anthony Raley, MPS, CCT, CCP
• Ralph M Vicari MD LLC
• Ralph Zipper MD PA
• Nadine P. Ramdeen-Wright, MD

• Psychologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.