DR. RICHARD E DIMOND


Address: 2921 Greenbriar Dr, Suite B-1, Springfield, IL 62704-6425
Phone: 2175463118

DR. RICHARD E DIMOND (NPI# 1548212145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548212145
Entity Type Individual
Full Name DR. RICHARD E DIMOND
Credential PH.D.
Practice Address 2921 Greenbriar Dr
Suite B-1
Springfield
IL 62704-6425
Practice Telephone 2175463118
Practice Fax Number 2175463184
Mailing Telephone 2175463118
Mailing Fax Number 2175463184
Enumeration Date 2006-05-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL HEALTH LINK 137075 01
IL AETNA 7364205 01
IL VALUE OPTIONS 013265 (MHS) 01
IL HEALTH ALLIANCE 064593 01

Other Providers RICHARD DIMOND

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1598857583 Richard A Dimond Orthopaedic Surgery 1660 S Columbian Way, Compensation and Pension Clinic 5 136 C&p, Seattle, WA 98108 2006-09-28

Office Location

Street Address 2921 GREENBRIAR DR
SUITE B-1
City SPRINGFIELD
State IL
Zip Code 62704-6425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225024136 Patricia Reichart Nurse Practitioner 2921 Greenbriar Dr, Ste C, Springfield, IL 62704 2005-09-26
1194128389 Cheryl Lee Affrunti Psychologist 2921 Greenbriar Dr, Ste. B-1, Springfield, IL 62704-6421 2014-10-01
1396084653 Kristen Lyn Wade Physical Therapist 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 2013-02-06
1639447295 Darrell B Simmermaker Physical Therapy Assistant 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 2011-12-09
1386923043 Laurie Ann Salvacion Physical Therapist 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 2011-08-12
1235421603 Craig A Backs Md LLC Internal Medicine 2921 Greenbriar Dr, Suite C, Springfield, IL 62704-6421 2011-05-04
1629200548 Bradley M. Blevins Physical Therapy Assistant 2921 Greenbriar Dr, Suite B-2, Springfield, IL 62704-6421 2009-08-11
1801957055 Physiotherapy Professionals LLC Physical Therapist 2921 Greenbriar Dr, Suite B-2, Springfield, IL 62704-6421 2006-12-12
1124043252 Craig A Backs Internal Medicine 2921 Greenbriar Dr, Springfield, IL 62704-6421 2006-07-12
1841242450 Keith L. Buescher Psychologist 2921 Greenbriar Dr, Suite B-1, Springfield, IL 62704-6425 2006-05-16
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NPI Name Taxonomy Address Enumeration
1902394901 Hillary Haaker Occupational Therapist 2035 W Iles, Suite C, Springfield, ID 62704 2018-04-25
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1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
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1366992208 Jayme Jordan Contractor 2409 Westchester Blvd, Springfield, IL 62704 2016-10-04
1154793974 Dina Payne Social Worker 917 Clocktower Drive, Suite 600, Springfield, IL 62704 2015-10-21
1770959819 James R Reynolds Hearing Instrument Specialist 2347 W Monroe St, Springfield, IL 62704 2015-08-12
1336576495 Emily Jane Dungey Counselor 920 S Spring St Ste 1300, Springfield, IL 62704 2013-10-03
1942552161 Jeannie Marie Hundley Specialist/Technologist, Other 2921 Monvale Drive, Springfield, IL 62704 2012-10-11
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1194359216 Kathrin A Koehler Psychologist 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 2020-02-27
1689126120 Assessment Consultants, LLC Psychologist 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 2016-11-01
1003366436 Caitriona Hayes Psychologist 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 2016-10-10
1669929907 Richart Lipe Demier Psychologist 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 2016-09-03
1043660905 Safe Harbor Christian Counseling of Northern Virginia LLC Psychologist 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 2016-06-21
1659786432 Kimberly Wilkins Psyd LLC Psychologist 1344 W Oakville Rd, Springfield, MO 65810-1696 2014-06-30
1548507817 Bahn and Associates Psychologist 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 2013-01-07
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Competitor

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City SPRINGFIELD
Zip Code 62704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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