DR. RACHAEL HERRINGTON ROLDAN PHD
NPI 1285865998
Psychologist in Springfield, MO

Active since July 29, 2009Opted out of Medicare · through Jan 1, 2027
1911 S NATIONAL AVE STE 401, SPRINGFIELD, MO 65804(417) 413-1724 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rachael Herrington Roldan Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RACHAEL HERRINGTON ROLDAN PHD (NPI 1285865998) is an individual psychologist in Springfield, Missouri, licensed in Missouri (2009019261) and active in the NPI registry since July 2009. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1285865998
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. RACHAEL HERRINGTON ROLDANCredential: PHD
Location Address1911 S NATIONAL AVE STE 401Springfield, MO 65804-2213
Mailing Address1911 S National Ave Ste 401Springfield, MO 65804-2213 · (417) 413-1724
Sole ProprietorNo
Enumeration DateJuly 29, 2009
Last NPPES UpdateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
NPI 1285865998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2009019261
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1911 S NATIONAL AVE STE 401, Springfield, MO 65804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Rachael Herrington Roldan Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
1911 S NATIONAL AVE STE 401
SPRINGFIELD, MO 65804
Psychologist (Clinical)
1911 S NATIONAL AVE STE 401
SPRINGFIELD, MO 65804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachael Roldan's NPI number?

The NPI number for Rachael Roldan is 1285865998. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Where is Rachael Roldan located?

Rachael Roldan practices at 1911 S National Ave Ste 401, Springfield, MO 65804. The listed phone number is (417) 413-1724.

What is Rachael Roldan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Rachael Roldan enrolled in Medicare?

No. Rachael Roldan has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rachael Roldan was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.