Active NPI
Rachael Guerra, PHD
- Psychologist
- West Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY23965
- Practice address
- 8605 Santa Monica Blvd
PMB 444510
West Hollywood, CA 90069-4109 - Phone
- (619) 215-1889
- NPI assigned
- Sep 28, 2006
- Last updated
- Nov 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Psychologist | 103T00000X | PSY23965 | CA | Primary |
Addresses
Primary practice location
8605 Santa Monica Blvd
PMB 444510
West Hollywood, CA 90069-4109
Mailing address
8605 Santa Monica Blvd
PMB 444510
West Hollywood, CA 90069-4109
Phone (619) 215-1889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23965 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Psychologist | Current | Accepting new patients |
| Grow Healthcare Group PA | Psychologist | Current | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490
5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1578655544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD",
"address_2": "PMB 444510",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109",
"telephone_number": "619-215-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD",
"address_2": "PMB 444510",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109",
"telephone_number": "619-215-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "RACHAEL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY23965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.