Healthcare Provider Details

I. General information

NPI: 1689318834
Provider Name (Legal Business Name): RACHEL THOMAS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 WISCONSIN AVE STE 965
CHEVY CHASE MD
20815-4325
US

IV. Provider business mailing address

5530 WISCONSIN AVE STE 965
CHEVY CHASE MD
20815-4325
US

V. Phone/Fax

Practice location:
  • Phone: 202-695-3374
  • Fax:
Mailing address:
  • Phone: 202-695-3374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number028273
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810008880
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number07297
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: