DR. MICHAEL J RATHEAL (ED.D.) – Psychologist, NPI 1003815341

DR. MICHAEL J RATHEAL (ED.D.) is a healthcare provider. based in Lubbock, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials ED.D.. They hold a License No. 2-3871 (TX). The NPI Number for DR. MICHAEL J RATHEAL (ED.D.) is 1003815341

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL J RATHEAL (ED.D.)
NPI
1003815341
Phone
(806) 792-3808
Address
5502 58TH ST
Enumeration Date
19 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8067923808
Graduation Year
1989 (37 years ago)
PAC ID
0840585758
Professional Enrollment ID
I20160817000114
Address ID
TX794142087LU5502XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for DR. MICHAEL J RATHEAL (ED.D.)

  • 5502, 58th Street, Lubbock, Texas, 79414, United States

    #600

    LUBBOCK, TX 794142000

    Phone: (806) 792-3808

    Fax: (806) 792-1506

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160817000114IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79414)

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Reviews

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Frequently asked questions

What federal number belongs to DR. MICHAEL J RATHEAL (ED.D.)?
The federal identifier for DR. MICHAEL J RATHEAL (ED.D.) is NPI 1003815341.
Is DR. MICHAEL J RATHEAL (ED.D.)'s NPI currently valid?
The extract we use shows DR. MICHAEL J RATHEAL (ED.D.) as active.
What kind of provider is DR. MICHAEL J RATHEAL (ED.D.)?
The page reflects Psychologist for DR. MICHAEL J RATHEAL (ED.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHAEL J RATHEAL (ED.D.)?
We surface Lubbock, Texas for DR. MICHAEL J RATHEAL (ED.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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Unknown Individual

Psychologist
Avenue P, Lubbock, Lubbock County, Texas, 79408, United States
NPI: 1194739706
5502, 58th Street, Lubbock, Texas, 79414, United States
NPI: 1154338820
PO BOX 16626
NPI: 1487767703