Individual provider Active NPI

Rachael Arowolo, PHD

  • Clinical Child & Adolescent Psychologist
  • Rockville, MD
National Provider Identifier
1780110106
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
06909 Issued in MD
Practice address
15245 Shady Grove Rd Ste 350
Rockville, MD 20850-6237
Phone
(301) 765-5430
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CG60608192 WA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Child & Adolescent Psychologist 103TC2200X 06909 MD Primary

Addresses

Primary practice location

15245 Shady Grove Rd Ste 350
Rockville, MD 20850-6237

Mailing address

5316 Disney Ave
Brooklyn, MD 21225-3143
Phone (716) 868-3979

Other names 1

  • Rachael Bowler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230818000029 DC Practitioner - Clinical Psychologist 1355703638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Mental Health LLCGroup PAC ID 6103294939, 14 clinicians

Practice addresses (Care Compare)

8120 Woodmont Ave
Suite 840
Bethesda, MD 20814-2789
Phone (240) 618-2889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CG60608192WAMDBehavior Technician
06909MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
One Mental Health LLC CurrentSince Sep 5, 2023 Accepting new patients
Children'S Hospital PastSince Apr 6, 2023 Accepting new patients
Organization for Research and Learning Past Accepting new patients

Locations

8120 Woodmont Ave
Ste 840
Bethesda, MD 20814
Phone (240) 618-2889

Organizations & group practices 3

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1780110106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 DISNEY AVE",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212253143",
            "telephone_number": "716-868-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506237",
            "telephone_number": "301-765-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROWOLO",
        "first_name": "RACHAEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CG60608192",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "06909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "BOWLER",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.