Active NPI
Rachel Larrain, PHD
- Psychologist
- New York, NY
National Provider Identifier
1982017505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 022386
- Practice address
- 3959 Broadway
New York, NY 10032-1559 - Phone
- (347) 514-1600
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 022386 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3959 Broadway
New York, NY 10032-1559
Mailing address
74 W 68TH St Apt 2D
New York, NY 10023-6049
Phone (917) 696-2299
Other practice location 1
120 W 57th St
New York, NY 10019-3320
Phone (212) 632-4733
Other practice location 2
120 W 57th St
New York, NY 10019-3320
Phone (212) 632-4733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022386 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1982017505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 W 68TH ST APT 2D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236049",
"telephone_number": "917-696-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "347-514-1600"
}
],
"practiceLocations": [
{
"address_1": "120 W 57th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100193320",
"country_code": "US",
"telephone_number": "212-632-4733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 W 57th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100193320",
"country_code": "US",
"telephone_number": "212-632-4733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARRAIN",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "022386",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.