Brad Rappaport, Psy.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4483 Issued in NC

Legal business name

BRAD RAPPAPORT, PSY.D., PLLC

Doing business as

Inner Path Psychotherapy & Wellness

Practice address

8378 Six Forks Rd Ste 204
Raleigh, NC 27615-5092

Phone

(917) 297-5261

NPI assigned

Aug 4, 2018

Last updated

Aug 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brad Rappaport, PSY.D.NPI 1104949924

Title

Director/Clinical Psychologist

Phone

(917) 297-5261

Specialties & licenses 1

Addresses

Other names 1

• Inner Path Psychotherapy & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brad Rappaport, PSY.D.

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1104949924
  NPD (past) Authorized official

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

{
    "created_epoch": "1533340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533340800000",
    "number": "1437637188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 GENTLE BREEZES LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147059",
            "telephone_number": "917-297-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8378 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155092",
            "telephone_number": "917-297-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD RAPPAPORT, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-04",
        "last_updated": "2018-08-04",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-297-5261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Path Psychotherapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inner Path Psychotherapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Elizabeth Bracamonte Lopez
• Patricia Ann Brachman, RN
• Katherine Lee Bracken, PH.D.
• Cherise Green Brackett, MD
• Meaghan Brackin, LCMHC-A, CRC
• Rachel Ann Brader, M.D.
• Thomas Brader, DDS, MD
• Allison Bradfield, MS RD
• Bria Bradford, LCSWA
• Dinah M Bradford

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2018; 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.