Rachel Hedrick, PSYD, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RACHEL HEDRICK, PSYD, PLLC

Practice address

611 Broadway St
San Antonio, TX 78215-1823

Phone

(210) 802-8055

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Rachel L Hedrick, PSYDNPI 1063996338

Title

Dr.

Phone

(210) 802-8055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Lauren Hedrick, PSYD

  • Psychologist
  • San Antonio, TX
  • NPI 1063996338
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705104000000",
    "number": "1740051408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26702 CAMDEN CHASE",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780156572",
            "telephone_number": "773-368-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151823",
            "telephone_number": "210-802-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL HEDRICK, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "210-802-8055",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Rabin, O.D., PH.D.
• Stephen F Rabke, MD
• Kelly Patricia Rabon, P.T., D.P.T.
• Brent Rachall, DPT
• Rachel Duran Tellez OD PA
• Rachel Saravia Rachel Saravia, PH.D
• Tracey Racinowski, RN
• Rackham Dental LLC (Kids N More Dentist)
• Joshua L Rackham, DMD
• Keith Rackley, CRNA

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.