Active NPI
Rachel Ruholt Nienaber, PSYD
- Clinical Psychologist
- Fort Thomas, KY
National Provider Identifier
1437701125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 273764
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 273764 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viewpoint Psychological Services PLLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Fort Thomas, KY
- NPI 1568593176
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.