Jyothi Racha, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0062956 Issued in MD

Practice address

4100 College Ave
Ellicott City, MD 21043-5506

Phone

(443) 364-5500

Fax

(443) 364-5501

NPI assigned

Oct 27, 2006

Last updated

Feb 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Prairie View, Inc.

  • Psychiatric Hospital
  • Wichita, KS
  • NPI 1902251655
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1760567523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 COLLEGE AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435506",
            "telephone_number": "443-364-5500",
            "fax_number": "443-364-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 COLLEGE AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435506",
            "telephone_number": "443-364-5500",
            "fax_number": "443-364-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHA",
        "first_name": "JYOTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0062956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409207400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qavs LLC
• Quartz Counseling
• Alyson Quick, MS, CAS
• Maria Carousel Carampatan Quijano, RPT
• Robert Rabinowitz, PHD, LCSW-C
• Shahla Roghieh Radfar, DDS
• Radparvar Smiles R US at Ellicott City P.C.
• Rajesh M Shah M D
• Lawrence Rakhmanov, LCPC
• Raksha Mirchandani, DDS, PC

• Psychiatry Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.