Active NPI
Elliot J Rapoport, PHD
- Psychologist
- Santa Fe, NM
National Provider Identifier
1902914831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- NMBPE 225
- Practice address
- 301 Johnson Street
Santa Fe, NM 87501-1828 - Phone
- (505) 983-3757
- Fax
- (505) 982-3300
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | NMBPE 225 | NM | Primary |
Addresses
Primary practice location
301 Johnson Street
Santa Fe, NM 87501-1828
Mailing address
301 Johnson Street
Santa Fe, NM 87501-1828
Phone (505) 983-3757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201008088 | Other | PRESBYTERIAN HEALTH PLAN | |
| N915 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110222000145 | NM | Practitioner - Clinical Psychologist | 2365623568 | Practice locations: Santa Fe, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
222 E Marcy St
Suite 10
Santa Fe, NM 87501-2021
Phone (505) 670-7223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NMBPE 225 | NM | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1902914831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 JOHNSON STREET",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011828",
"telephone_number": "505-983-3757",
"fax_number": "505-982-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 JOHNSON STREET",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011828",
"telephone_number": "505-983-3757",
"fax_number": "505-982-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPOPORT",
"first_name": "ELLIOT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "NMBPE 225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "201008088",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "N915",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.