Individual provider Active NPI

Rachel Mahoney Rengifo, PH.D.

  • Clinical Psychologist
  • Rutherford, NJ
National Provider Identifier
1891932745
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00541800 Issued in NJ
Practice address
9 Lincoln Ave
Rutherford, NJ 07070-2186
Phone
(201) 500-2068
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 35SI00541800 NJ Primary

Addresses

Primary practice location

9 Lincoln Ave
Rutherford, NJ 07070-2186

Mailing address

9 Lincoln Ave
Rutherford, NJ 07070-2186
Phone (201) 500-2068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150312002584 NJ Practitioner - Clinical Psychologist 6002132826 Reassigns benefits to 1 organization
Practice locations: Ridgewood, NJ; Rutherford, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

179 S Maple Ave
Ridgewood, NJ 07450-4541
Phone (201) 248-4335

67 Home Ave
Rutherford, NJ 07070-1727
Phone (201) 500-2068

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kessler Professional Services LLC CurrentSince Feb 2, 2015 Accepting new patients
The Mindful Path to Psychological Care, LLC Clinical CurrentSince Oct 5, 2025 Accepting new patients
Virginia D. Mac Isaac, LCSW, LLC Past Accepting new patients

Locations

9 Lincoln Ave
Rutherford, NJ 07070
Phone (201) 500-2068

67 Home Ave
Rutherford, NJ 07070
Phone (201) 429-5954

1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1891932745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LINCOLN AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702186",
            "telephone_number": "201-500-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LINCOLN AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702186",
            "telephone_number": "201-500-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGIFO",
        "first_name": "RACHEL",
        "middle_name": "MAHONEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00541800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.