Kyle David Raque, PSY.D.
Clinical Psychologist · Blue Ridge, GA
Kyle David Raque, PSY.D. is a clinical psychologist with a practice address in Blue Ridge, Georgia, and NPI 1790863900, issued on Nov 2, 2006. Check the license (Georgia PSY003039, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kyle David Raque
- Credential
- PSY.D.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- PSY003039 GA
Self-reported in NPPES; status is on the state search - Practice location
- 9757 Blue Ridge Dr, Blue Ridge, GA 30513
- Phone
- (706) 455-2490
- Enumerated
- Nov 2, 2006
- Record last updated
- Feb 26, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20070215000010); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,169 in Georgia → Look up another NPI →
Also registered at 9757 Blue Ridge Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Willa Boston, PSYDClinical Psychologist1700259553
- Hope Cross, LPCProfessional Counselor1992432819
- Amber IsleyMental Health Counselor1639095565
- Esther Jean-Gratia, PSYDPsychologist1437612322
- Debby Lazarine, LCSWClinical Social Worker1528673860
- Benjamin Marchman, MS, APCProfessional Counselor1902692387
Verify Kyle David Raque in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license PSY003039Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Blue Ridge Psychological Services, LLCBlue Ridge, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kyle David Raque among 1,169 clinical psychologist records in Georgia
Kyle David Raque, PSY.D. is one of 1,169 clinical psychologist records with a practice address in Georgia. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 70% newer
- In a Medicare fileYes · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 17% of these records are
- Graduated2005 · median 1999 among the 201 with a school on file
- Record last updated2020 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 clinical psychologist records list a practice address in Blue Ridge
They are 3 of the 249 NPPES records with a practice address in Blue Ridge, and 1,169 clinical psychologist records in Georgia.
All 1,169 in Georgia → Every provider in Blue Ridge → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Willa Boston, PSYDBlue Ridge, GA 305131700259553
- Kenneth Carpenter, PSYDBlue Ridge, GA 305131912315987
- Jill Anderson, PSYDSugar Hill, GA 305181972805786
- John Edwards, PH.D.Sugar Hill, GA 305181740451970
- Erica Kasler, PSY.D.Buford, GA 305181942279682
- Mac Hafele, PH.D.Gainesville, GA 305061598994212
- David Busch, PH.D.Cherry Log, GA 305221053343699
- David Bailey, ED.D., ABPPGainesville, GA 305011154409449
Common questions
What is Kyle David Raque, PSY.D.'s NPI number?
Kyle David Raque, PSY.D.'s National Provider Identifier (NPI) is 1790863900, issued on Nov 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kyle David Raque, PSY.D. located?
The NPPES record lists a practice address at 9757 Blue Ridge Dr, Blue Ridge, GA, 30513. Phone: (706) 455-2490. Providers update this record themselves, so call before visiting.
How can I verify Kyle David Raque, PSY.D.'s license?
NPPES lists Georgia license number PSY003039, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.