Kyle Raque, PSY.D.
NPI 1790863900 · Clinical Psychologist · Blue Ridge, GA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Raque, PSY.D. is a Clinical Psychologist provider in Blue Ridge, GA (NPI 1790863900).
Provider details
- NPI number
- 1790863900
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- 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 tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
726 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 473 | $140 |
| Psychiatric Diagnostic Evaluation90791 | 67 | $163 |
| Administration of Psychological Or Neuropsychological Test, Each Additional 30 Minutes96137 | 50 | $34 |
| Brief Communication Technology-Based Service, E.g. Virtual Check-In, By a Physician Or Other Qualified Health Care Professional Who Can Report Evaluation and Management Services, Provided to an Established Patient, Not Originating From a Related E/M ServicG2012 | 42 | $12 |
| Telehealth Originating Site Facility FeeQ3014 | 42 | $25 |
| Evaluation of Neuropsychological Test, Each Additional Hour96133 | 26 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2020-02-26
- Certified
- 2020-02-26
Frequently asked questions
- What is Kyle Raque's NPI number?
- Kyle Raque's National Provider Identifier (NPI) is 1790863900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Raque's specialty?
- Kyle Raque is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kyle Raque located?
- Kyle Raque's practice location on file with NPPES is 9757 Blue Ridge Dr, Blue Ridge, GA 30513-4167.
- What is Kyle Raque's phone number?
- The practice phone number listed in the NPPES registry for Kyle Raque is (706) 455-2490.
- Does Kyle Raque accept Medicare?
- Kyle Raque is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Raque's NPI active?
- Yes — Kyle Raque's NPI (1790863900) is active in the NPPES registry as of the last update on 2020-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.