Individual provider Active NPI

Rachel Blake Christopher

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1720860166
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12403 Issued in FL
Practice address
2601 E Oakland Park Blvd Ste 502
Fort Lauderdale, FL 33306-1617
Phone
(954) 488-2933
NPI assigned
Oct 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 PY12403 FL Primary

Addresses

Primary practice location

2601 E Oakland Park Blvd Ste 502
Fort Lauderdale, FL 33306-1617

Mailing address

2601 E Oakland Park Blvd Ste 502
Fort Lauderdale, FL 33306-1617
Phone (954) 488-2933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241030003369 FL Practitioner - Clinical Psychologist 3577096452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jamie Long, Psy.D., P.a.Group PAC ID 0648416354, 5 clinicians

Practice addresses (Care Compare)

2601 E Oakland Park Blvd
Suite 502
Ft Lauderdale, FL 33306-1617
Phone (954) 661-6847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY12403FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Long, Psy.D., P.a. Clinical CurrentSince Oct 1, 2024 Accepting new patients

Locations

2601 E Oakland Park Blvd
Ste 502
Oakland Park, FL 33306
Phone (954) 488-2933

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1720860166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E OAKLAND PARK BLVD STE 502",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061617",
            "telephone_number": "954-488-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E OAKLAND PARK BLVD STE 502",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061617",
            "telephone_number": "954-488-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "RACHEL",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.