Individual provider Active NPI

Susan Rahima Joan Schmall, PH.D.

  • Clinical Psychologist
  • Saint Helena, CA
National Provider Identifier
1619991130
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17236 Issued in CA
Practice address
1030 Main St
Suite 205
Saint Helena, CA 94574-2056
Phone
(707) 318-4470
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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 PSY17236 CA Primary

Addresses

Primary practice location

1030 Main St
Suite 205
Saint Helena, CA 94574-2056

Mailing address

4362 Village Loop
Santa Fe, NM 87507-1833
Phone (707) 318-4470

Other names 1

  • Dr. Rahima Schmall Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161201000405 NM Practitioner - Clinical Psychologist 1254437452 Reassigns benefits to 1 organization
Practice locations: Santa Fe, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4362 Village Loop
Santa Fe, NM 87507-1833
Phone (707) 318-4470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
719NMMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Soul Psychology Inc CurrentSince Jan 1, 2021 Accepting new patients
California Center for Families and Illness Inc PastSince Nov 27, 2007 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1619991130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 VILLAGE LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875071833",
            "telephone_number": "707-318-4470",
            "fax_number": "707-318-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "address_2": "SUITE 205",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945742056",
            "telephone_number": "707-318-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALL",
        "first_name": "SUSAN",
        "middle_name": "RAHIMA JOAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHIMA",
            "last_name": "SCHMALL",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.