Individual provider Active NPI

Rachel Chickerella, PHD

  • Psychologist
  • Keene, NH
National Provider Identifier
1992576912
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1692 Issued in NH
Practice address
40 Avon St
Keene, NH 03431-3516
Phone
(614) 309-5705
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1692 NH Primary

Addresses

Primary practice location

40 Avon St
Keene, NH 03431-3516

Mailing address

40 Avon St
Keene, NH 03431-3516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20260128000229 NH Practitioner - Clinical Psychologist 3274011739 Practice locations: Keene, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Hillside Ave
Keene, NH 03431-4360

40 Avon St
Keene, NH 03431-3516
Phone (802) 416-0980

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1692NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Chickerella's Private Practice CurrentSince Jan 18, 2024 Accepting new patients

Locations

40 Avon St
Keene, NH 03431
Phone (603) 352-1024

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1992576912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AVON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AVON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313516",
            "telephone_number": "614-309-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICKERELLA",
        "first_name": "RACHEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.