Individual provider Active NPI

Rakefet Yaakoba, PSY D

  • Clinical Psychologist
  • Bellingham, WA
National Provider Identifier
1861568354
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00003494 Issued in WA
Practice address
3210 Peabody St
Bellingham, WA 98225-1745
Phone
(360) 224-2431
NPI assigned
Nov 27, 2006
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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 PY00003494 WA Primary

Addresses

Primary practice location

3210 Peabody St
Bellingham, WA 98225-1745

Mailing address

3210 Peabody Street
Bellingham, WA 98225

Other names 1

  • Rakefet Richmond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070201000081 WA Practitioner - Clinical Psychologist 9931101177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Associates in Mental HealthGroup PAC ID 1355324815, 14 clinicians

Practice addresses (Care Compare)

1155 N State St
Bellingham, WA 98225-5024
Phone (360) 715-2488

2215 Elm St
Bellingham, WA 98225-2899
Phone (360) 715-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Mental Health CurrentSince Sep 1, 2008 Accepting new patients
Shifa Health PLLC PastSince Mar 14, 2003 Accepting new patients

Locations

1155 N State St
Ste 404
Bellingham, WA 98225

2215 Elm St
Bellingham, WA 98225
Phone (360) 920-2053

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1861568354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 PEABODY STREET",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 PEABODY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251745",
            "telephone_number": "360-224-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAAKOBA",
        "first_name": "RAKEFET",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAKEFET",
            "last_name": "RICHMOND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.