Individual provider Active NPI

Rachael Lisa Juehring, PHD

  • Clinical Psychologist
  • Maryland Heights, MO
National Provider Identifier
1669809133
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2013034315 Issued in MO
Practice address
11365 Dorsett Rd.
Maryland Heights, MO 63043
Phone
(314) 872-6400
Fax
(314) 454-4013
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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 2013034315 MO Primary

Addresses

Primary practice location

11365 Dorsett Rd.
Maryland Heights, MO 63043

Mailing address

11365 Dorsett Rd.
Maryland Heights, MO 63043
Phone (314) 872-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140305000097 MO Practitioner - Clinical Psychologist 6507096906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11365 Dorsett Rd
Maryland Heights, MO 63043-3411
Phone (314) 872-6400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ranken-Jordan Home for Convalescent Crippled Children CurrentSince May 17, 2025 Accepting new patients

Locations

11365 Dorsett Rd
Maryland Hts, MO 63043
Phone (314) 872-6400

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1669809133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11365 DORSETT RD.",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "314-872-6400",
            "fax_number": "314-454-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11365 DORSETT RD.",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "314-872-6400",
            "fax_number": "314-454-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUEHRING",
        "first_name": "RACHAEL",
        "middle_name": "LISA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2013034315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.