Michael H. Rathjens, Psy.D, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4666 Issued in FL

Legal business name

MICHAEL H. RATHJENS, PSY.D, PA

Practice address

12012 S Shore Blvd
Ste 108
Wellington, FL 33414-6203

Phone

(561) 790-7975

Fax

(561) 790-4788

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael H Rathjens, PSY.DNPI 1073612404

Title

Owner

Phone

(561) 790-7975

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Michael H Rathjens, PSY.D.

  • Clinical Psychologist
  • Wellington, FL
  • NPI 1073612404
  Medicare reassignment NPD Authorized official
• Carol Ann Vandusen, MS, LMHC

  • Specialist
  • Wellington, FL
  • NPI 1386785087
  NPD (past)

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1609147479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4682 FOXVIEW PL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334673510",
            "telephone_number": "561-790-7975",
            "fax_number": "561-790-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 S SHORE BLVD",
            "address_2": "STE 108",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146203",
            "telephone_number": "561-790-7975",
            "fax_number": "561-790-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H. RATHJENS, PSY.D, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "RATHJENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-790-7975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judianna Meyers-Sinett
• MGC Health Solutions LLC
• Tristan Miceli, D.C.
• Michael E. Belotti, D.O., P.a.
• Michael G. Mauck, D.M.D., P.a.
• Michael S. Harris DMD
• Scott Lewis Midwall, M.D.
• Emma Migliara
• Michael R Mikolajczak, D.O.
• Manouchka Mildor, APRN

• Clinical Psychologist in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.