STEPHEN CLARK RICHARDSON (NPI# 1639523400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639523400 |
| Entity Type | Individual |
| Full Name | STEPHEN CLARK RICHARDSON |
| Credential | D.O. |
| Practice Address |
1221 W Lakeview Ave Pensacola FL 32501-1836 |
| Practice Telephone | 8504693500 |
| Practice Fax Number | 8505951400 |
| Mailing Telephone | 8504693500 |
| Mailing Fax Number | 8505951400 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OS16888 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394272 | Stephen Mark Richardson | Counselor | 1923 Thunder Mountain Rd, Camdenton, MO 65020-2846 | 2020-04-05 |
| 1780939868 | Stephen F Richardson | Specialist | 9493 S Granite Farm Rd, Sandy, UT 84092-2517 | 2012-07-16 |
| 1710918404 | Stephen K Richardson | Dermatology | 1714 Mahan Center Blvd, Tallahassee, FL 32308-5427 | 2006-07-05 |
| 1801895438 | Stephen M Richardson | Optometrist | 430 Neal St, Cookeville, TN 38501-0916 | 2005-07-15 |
| 1487166658 | Stephen Taylor Richardson | Physical Therapist | 1215 21st Ave S, Suite 3312, 300 Medical Center East, South Tower, Nashville, TN 37232 | 2017-10-28 |
| 1356874242 | Stephen Richardson | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2017-04-06 |
| 1174062046 | Stephen Richardson | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2017-02-13 |
| 1598151029 | Stephen Richardson | Anesthesiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2015-04-10 |
| 1679867691 | Stephen Charles Richardson II | Nurse Practitioner | 9201 E Mountain View Rd, Suite 220, Scottsdale, AZ 85258-5199 | 2011-06-07 |
| 1952619249 | Stephen Russell Richardson I | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2010-09-20 |
| Street Address |
1221 W LAKEVIEW AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943772 | Lakeview Center Inc | Psychiatric Residential Treatment Facility | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2005-06-21 |
| 1770182875 | Jonathan Hoffman | Social Worker | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2020-10-20 |
| 1619586674 | Claire Evans | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2020-07-27 |
| 1619517984 | Kristopher Fross | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2020-01-14 |
| 1699315044 | Brittany C Fields | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2020-01-14 |
| 1710526298 | Samantha Marie Mclane | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-12-31 |
| 1639718455 | Danielle Pugh | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-12-26 |
| 1407490923 | Brittany Carney | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-10-29 |
| 1457992968 | Ashley Nicole Wei | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-10-06 |
| 1841841293 | Marchella Carter | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487846259 | Gulf Breeze Psychiatric Services | Psychiatry & Neurology | 1221 East Desoto St, Pensacola, FL 32501 | 2007-08-15 |
| 1063619526 | Anita Marie Nusbaum | Psychiatry & Neurology | 6425 N. Pensacola Boulevard, Pensacola, FL 32503 | 2007-06-28 |
| 1962559708 | Audrey E Michal | Psychiatry & Neurology | 914 Bay Blvd, Pensacola, FL 32503-6806 | 2007-01-04 |
| 1174691364 | Jan A. Salzberg | Psychiatry & Neurology | 6425 Pensacola Blvd Ste 1-3, Pensacola, FL 32505-1701 | 2006-12-04 |
| 1821188038 | Douglas Holmes Fraser | Psychiatry & Neurology | The Anchor Clinic LLC, 229 S Baylen St Ste 2, Pensacola, FL 32502 | 2006-10-16 |
| 1538269121 | Cris William Jagar | Psychiatry & Neurology | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-09-23 |
| 1417993692 | Francisco E Ramos-acosta | Psychiatry & Neurology | 600 East Government Street, Pensacola, FL 32502 | 2006-06-22 |
| 1124063474 | Michael P Conrad | Psychiatry & Neurology | 1221 E Desoto St, Pensacola, FL 32501-3337 | 2006-06-19 |
| 1376504118 | James L Igleburger | Psychiatry & Neurology | 890 South Park Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-03-31 |
| 1770578585 | Yira Van Der Linde | Psychiatry & Neurology | 1221 E De Soto St, Pensacola, FL 32501-3337 | 2005-09-19 |
| Find all providers in PENSACOLA | ||||
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| 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.