Kenneth Chris Rachal, PHD, MP

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MP.0014 Issued in LA

Practice address

142A Rue Marguerite
Thibodaux, LA 70301-6738

Phone

(985) 625-0023

Fax

(985) 625-0022

NPI assigned

Jul 1, 2005

Last updated

May 1, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. K. Chris Rachal Professional name

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Psychological Health Care of South LouisianaGroup PAC ID 5395916571, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Psychological Health Care of South Louisiana

  • Clinical Neuropsychologist
  • Houma, LA
  • NPI 1134418502
  Medicare reassignment Care Compare group NPD Authorized official
• Bianchini-Rachal, LLC

  • Clinical Neuropsychologist
  • Houma, LA
  • NPI 1972742948
  NPD (past)
• Southeast Neuroscience Center, LLC

  • Medical Specialty Clinic/Center
  • Houma, LA
  • NPI 1366820367
  NPD (past)
• Touchstone Center, LLC

  • Behavior Analyst
  • Thibodaux, LA
  • NPI 1972924314
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1871590067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142A RUE MARGUERITE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016738",
            "telephone_number": "985-625-0023",
            "fax_number": "985-625-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142A RUE MARGUERITE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016738",
            "telephone_number": "985-625-0023",
            "fax_number": "985-625-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHAL",
        "first_name": "KENNETH",
        "middle_name": "CHRIS",
        "credential": "PHD, MP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "LA",
            "license": "895",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP.0014",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "LA",
            "license": "895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1130354",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K.",
            "last_name": "RACHAL",
            "middle_name": "CHRIS",
            "prefix": "DR.",
            "credential": "PHD, MP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Prescribing (Medical) Psychologist in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Prescribing (Medical) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.