Active NPI
Rachel Miller Slough, PHD
- Clinical Child & Adolescent Psychologist
- Johnson City, TN
National Provider Identifier
1881220697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 3686
- Practice address
- 801 S Dossett Drive
Johnson City, TN 37614 - Phone
- (423) 439-7777
- NPI assigned
- Mar 13, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3686 | TN | |
| Family Psychologist | 103TF0000X | 3686 | TN | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3686 | TN | Primary |
Addresses
Primary practice location
801 S Dossett Drive
Johnson City, TN 37614
Mailing address
PO Box 70649
Johnson City, TN 37614-1702
Phone (804) 938-9330
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.etsu.edu/cas/psychology/bhwc/default.php | ETSU Behavioral Health and Wellness Clinic |
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1881220697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70649",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141702",
"telephone_number": "804-938-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S DOSSETT DRIVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37614",
"telephone_number": "423-439-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOUGH",
"first_name": "RACHEL",
"middle_name": "MILLER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-13",
"last_updated": "2023-11-27",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "3686",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "TN",
"license": "3686",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TN",
"license": "3686",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.etsu.edu/cas/psychology/bhwc/default.php",
"affiliation": "Y",
"endpointDescription": "clinic URL",
"affiliationName": "ETSU Behavioral Health and Wellness Clinic",
"address_1": "801 S Dossett Drive",
"city": "Johnson City",
"state": "TN",
"country_code": "US",
"postal_code": "37614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.