Rachel F Gottlieb, PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RACHEL F GOTTLIEB, PHD, LLC

Practice address

1751 S Lumpkin St
Athens, GA 30606-4740

Phone

(336) 655-6980

NPI assigned

May 6, 2019

Organization subpart

No

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

Authorized official

Name

Rachel Gottlieb, PHDNPI 1417153974

Title

Owner

Phone

(706) 395-2525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Francine Gottlieb, PHD

  • Clinical Psychologist
  • Athens, GA
  • NPI 1417153974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1538724596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 S LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306064740",
            "telephone_number": "706-395-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 S LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306064740",
            "telephone_number": "336-655-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL F GOTTLIEB, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-395-2525",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Elizabeth Quick, MD
• Joan Elizabeth Quinn, LPC
• Lourdes Maria Quintana Acevedo, MD
• Jodie Quinton, PA-AA
• Zahraa Rabeeah, M.D.
• Radiology Associates of North Georgia
• Liviu D Radu, MD
• Terry J Ragan, M.A., CCC-SLP
• Cheryl K Rains, RPH
• Jay Rains

• Clinical Psychologist in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.