KENNETH CHRIS RACHAL PHD MP NPI 1871590067

NPI Information

  • NPI: 1871590067
  • Provider Name: KENNETH CHRIS RACHAL, PHD, MP
  • Classification: Psychologist - 103TP0016X
  • Specialization: Prescribing (Medical)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 142A RUE MARGUERITE
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 625-0023

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NPI Details

Kenneth Chris Rachal, PHD, MP is a prescribing (medical) psychologist in Thibodaux, LA with 25 years of experience. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. Kenneth Chris Rachal, PHD, MP NPI is 1871590067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

142A RUE MARGUERITE
THIBODAUX, LA
ZIP 70301-738
Phone: (985) 625-0023
Fax: (985) 625-0022

The NPI 1871590067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 5/1/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist895LOUISIANANo
2103TC1900XPsychologistCounseling895LOUISIANANo
3103TP0016XPsychologistPrescribing (Medical)MP.0014LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15DU94MEDICARE UPINLOUISIANA
21130354MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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