Active NPI
Rachael Teresa Kelleher, M.S.
- Clinical Psychologist
- Greensboro, NC
National Provider Identifier
1861894073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4825
- Practice address
- 1100 W Market St
3Rd Floor
Greensboro, NC 27403-1830 - Phone
- (336) 334-5662
- Fax
- (336) 334-5754
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4825 | NC | Primary |
Addresses
Primary practice location
1100 W Market St
3Rd Floor
Greensboro, NC 27403-1830
Mailing address
PO Box 26170
Greensboro, NC 27402-6170
Phone (336) 334-5662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4825 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uncg Psychology Clinic | Clinical | Past | Accepting new patients |
| Ad/HD Clinic at University of North Carolina Greensboro | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Greensboro, NC
- NPI 1144528480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1861894073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26170",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274026170",
"telephone_number": "336-334-5662",
"fax_number": "336-334-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W MARKET ST",
"address_2": "3RD FLOOR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031830",
"telephone_number": "336-334-5662",
"fax_number": "336-334-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEHER",
"first_name": "RACHAEL",
"middle_name": "TERESA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.