Individual provider Active NPI

Tabassum Abid Rahman-Rawlins, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1962589473
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1289 Issued in AL
Practice address
2000 Trident Way BLDG 624
San Diego, CA 92155-5599
Phone
(757) 839-9764
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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 1289 AL Primary

Addresses

Primary practice location

2000 Trident Way BLDG 624
San Diego, CA 92155-5599

Mailing address

2000 Trident Way BLDG 624
San Diego, CA 92155-5599

Other names 1

  • Tabassum Abid Rahman Former name

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

State licenses

LicenseStateTypeSpecialty
1289ALMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1962589473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TRIDENT WAY BLDG 624",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TRIDENT WAY BLDG 624",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555599",
            "telephone_number": "757-839-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN-RAWLINS",
        "first_name": "TABASSUM",
        "middle_name": "ABID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABASSUM",
            "last_name": "RAHMAN",
            "middle_name": "ABID",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.