Blue Ridge Psychological Services, LLC
NPI 1750524781 · Clinical Psychologist · Blue Ridge, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Ridge Psychological Services, LLC is a Clinical Psychologist organization in Blue Ridge, GA (NPI 1750524781).
Provider details
- NPI number
- 1750524781
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kyle Raque, Registered Agent/Owner(706) 455-2490
- License
- PSY003039 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-06
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Frequently asked questions
- What is Blue Ridge Psychological Services, LLC's NPI number?
- Blue Ridge Psychological Services, LLC's National Provider Identifier (NPI) is 1750524781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Ridge Psychological Services, LLC?
- Blue Ridge Psychological Services, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Blue Ridge Psychological Services, LLC located?
- Blue Ridge Psychological Services, LLC's practice location on file with NPPES is 9757 Blue Ridge Dr, Blue Ridge, GA 30513-4167.
- What is Blue Ridge Psychological Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Ridge Psychological Services, LLC is (706) 455-2490.
- Does Blue Ridge Psychological Services, LLC accept Medicare?
- Blue Ridge Psychological Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Ridge Psychological Services, LLC?
- The authorized official listed on Blue Ridge Psychological Services, LLC's NPPES record is Kyle Raque, Registered Agent/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Ridge Psychological Services, LLC's NPI active?
- Yes — Blue Ridge Psychological Services, LLC's NPI (1750524781) is active in the NPPES registry as of the last update on 2025-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.