Individual provider Active NPI

Rachel Ruholt Nienaber, PSYD

  • Clinical Psychologist
  • Fort Thomas, KY
National Provider Identifier
1437701125
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
273764 Issued in KY
Practice address
1455 S Fort Thomas Ave
Fort Thomas, KY 41075-2453
Phone
(859) 442-8439
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 273764 KY Primary

Addresses

Primary practice location

1455 S Fort Thomas Ave
Fort Thomas, KY 41075-2453

Mailing address

3230 Laurel Oak CT
Edgewood, KY 41017-3359
Phone (859) 609-2328

Other names 1

  • Rachel Elizabeth Ruholt Former name

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

State licenses

LicenseStateTypeSpecialty
273764KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Viewpoint Psychological Services PLLC Clinical CurrentSince May 14, 2024 Accepting new patients

Locations

2865 Chancellor Dr
Ste 105
Crestview Hills, KY 41017
Phone (859) 426-5666

1455 S Fort Thomas Ave
Fort Thomas, KY 41075
Phone (859) 442-8439

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.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1437701125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 LAUREL OAK CT",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173359",
            "telephone_number": "859-609-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S FORT THOMAS AVE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752453",
            "telephone_number": "859-442-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENABER",
        "first_name": "RACHEL",
        "middle_name": "RUHOLT",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "273764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "RUHOLT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.