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TAHLIA RAINBOLT PH.D.
NPI 1861892465
Psychologist - Clinical in Santa Fe, NM

Active since September 02, 2014Opted out of Medicare · through Jan 1, 2027
1012 MARQUEZ PL # 211, SANTA FE, NM 87505(505) 989-3340 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tahlia Rainbolt Ph.d. NPPES

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

TAHLIA RAINBOLT PH.D. (NPI 1861892465) is an individual clinical provider in Santa Fe, New Mexico, licensed in New Mexico (1308) and active in the NPI registry since September 2014. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861892465
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTAHLIA RAINBOLTCredential: PH.D.
Location Address1012 MARQUEZ PL # 211Santa Fe, NM 87505-1834
Mailing Address1012 Marquez Pl # 211Santa Fe, NM 87505-1834 · (505) 989-3340
Phone(505) 989-3340
Sole ProprietorYes
Enumeration DateSeptember 2, 2014
Last NPPES UpdateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1861892465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NM · 1308
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1012 MARQUEZ PL # 211, Santa Fe, NM 87505
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tahlia Rainbolt Ph.d. 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, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JESSICA ROSE BULLEY CF-SLP
Speech-Language Pathologist
1012 MARQUEZ PL # 211
SANTA FE, NM 87505
Santa Fe County (505) 302-0095

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 Tahlia Rainbolt's NPI number?

The NPI number for Tahlia Rainbolt is 1861892465. It was assigned to this individual provider in the NPPES registry on September 2, 2014.

Where is Tahlia Rainbolt located?

Tahlia Rainbolt practices at 1012 Marquez Pl # 211, Santa Fe, NM 87505. The listed phone number is (505) 989-3340.

What is Tahlia Rainbolt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tahlia Rainbolt enrolled in Medicare?

No. Tahlia Rainbolt 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. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tahlia Rainbolt was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.