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Provider Information for 1609485127


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Dr. RACHEL MILLER RADIN PhD


Sex: Female

NPI: 1609485127
Last Updated: 2023-08-04
Certification Date: 2023-08-04

Details

NameValue
NPI1609485127
Enumeration Date2020-07-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 401 PARNASSUS AVE
SAN FRANCISCO, CA 94143-2211
United States

Phone: 845-641-9569 | Fax:
 
Primary Practice Address 401 PARNASSUS AVE
SAN FRANCISCO, CA 94143-2211
United States

Phone: 415-476-7000 | Fax:415-502-6361
 
Secondary Practice Address(es)

909 WILLOW ST APT A
ALAMEDA, CA 94501-4329
United States

Phone: 845-641-9569 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CAPSY30403Psychology License Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 103T00000X - Psychologist CA30403