RICHARDSON PSYCHIATRIC P.A. (NPI# 1619123056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619123056 |
| Entity Type | Organization |
| Organization Name | RICHARDSON PSYCHIATRIC P.A. |
| Practice Address |
4500 I 55 N Ste 234 Jackson MS 39211-5932 |
| Practice Telephone | 6019828531 |
| Practice Fax Number | 6019821115 |
| Mailing Telephone | 6019828531 |
| Mailing Fax Number | 6019821115 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | DR. JOHN D RICHARDSON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6019828535 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1409871 | 05 | |
| MS | BLUE CROSS BLUE SHIELD | 587948354B | 01 |
| MS | 00119784 | 05 |
| Street Address |
4500 I 55 N STE 234 |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-5932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356440721 | William S Cook Jr. | Psychiatry & Neurology | 4500 I 55 N, Ste 256, Jackson, MS 39211-5930 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518987478 | William G. Clark | Psychiatry & Neurology | 1603 Old Amy Rd, Laurel, MS 39440-2139 | 2006-07-20 |
| 1932679958 | Oceans Mississippi Medical Group LLC | Psychiatry & Neurology | 152 Gateway Dr, Biloxi, MS 39531-4409 | 2018-12-03 |
| 1932440955 | Kasp Consulting Inc | Psychiatry & Neurology | 960 Avent Dr, Umc Grenada Senior Care Unit, Grenada, MS 38901-5230 | 2013-03-15 |
| 1215292941 | Psychiatric Services of Columbia | Psychiatry & Neurology | 323 Dale St, Columbia, MS 39429-2745 | 2012-07-09 |
| 1235346230 | North Sunflower Medical Center | Psychiatry & Neurology | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2007-05-17 |
Please comment or provide details below to improve the information on RICHARDSON PSYCHIATRIC P.A..
| 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.