DR. CLARISSA MARIE EDGE RICHARDSON (NPI# 1649764713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649764713 |
Entity Type | Individual |
Full Name | DR. CLARISSA MARIE EDGE RICHARDSON |
Credential | PH.D. |
Practice Address |
University of Idaho Student Health Center 210 Moscow ID 83844-0001 |
Mailing Address |
875 Perimeter Dr # 210 Moscow ID 83844-3043 |
Practice Telephone | 2088855081 |
Mailing Telephone | 2088855081 |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-06-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY-203053 | ID | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710036504 | Clarissa Mcrae Richardson | Counselor | 398 Hospital Rd, Sylva, NC 28779-5196 | 2007-01-09 |
Street Address |
UNIVERSITY OF IDAHO STUDENT HEALTH CENTER 210 |
City | MOSCOW |
State | ID |
Zip Code | 83844-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578118568 | Rechelle Ann Meade | Specialist/Technologist | 875 Perimeter Drive, Moscow, ID 83844 | 2019-08-06 |
1194253302 | Tyler Atkinson | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844 | 2017-06-01 |
1720618960 | Samantha Layne Hanna | Specialist/Technologist | 875 Perimeter Drive College of Education 123, Moscow, ID 83844-0001 | 2020-01-15 |
1588193577 | Carmen Perez | Specialist/Technologist | University of Idaho 709 South Deakin St, Moscow, ID 83844-0001 | 2017-06-05 |
1013445220 | Alec Webbenhurst | Specialist/Technologist | University of Idaho Athletic Training 875 Dr, Moscow, ID 83844-0001 | 2017-06-01 |
1194990044 | William A. Cone | Psychiatry & Neurology | 831 Ash St, Moscow, ID 83844-0001 | 2008-04-22 |
1467855403 | Clint Emmett | Nurse Practitioner | 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 | 2014-10-06 |
1922529544 | Christopher John Walsh Jr. | Specialist/Technologist | University of Idaho Athletic Training Services, 1000 Stadium Way, Moscow, ID 83844-2302 | 2017-07-05 |
1700284262 | Megan Renae Shifflett | Specialist/Technologist | 875 Perimeter Dr # Ms 2302, Moscow, ID 83844-2302 | 2014-12-16 |
1013044767 | Megan Brooke Borchert | Specialist/Technologist | 442302 Asui Kibbie Dome, Moscow, ID 83844-2302 | 2007-02-28 |
Find all providers in zip 83844 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073748950 | Nancy Sasse Sasser | Psychologist | 1060 Showalter Rd, Moscow, ID 83843-9199 | 2009-05-21 |
1720396252 | Chia-chi Hu | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2010-09-17 |
1174533525 | Alan J. Whitlock | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-08-08 |
1336106830 | Dianne Ladon Phillips-miller | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-04-27 |
1437139607 | Carolyn J. Wyatt | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538583869 | Meier Clinics of California | Psychologist | 360 East Avenue, Suite 200, Ketchum, ID 83340 | 2014-02-06 |
1841542982 | Jeffrey Lee Elder II | Psychologist | 2335 Robison Dr, Rexburg, ID 83440-3310 | 2012-10-14 |
1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
1578732293 | Melissa A Boley | Psychologist | 333 South Main St Ste 104, Ketchum, ID 83340 | 2008-02-27 |
1336361336 | Jon E. Ashton | Psychologist | 2273 East Gala, Suite 100, Meridian, ID 83642-7289 | 2007-05-02 |
1184741282 | Gregory W. Mondin | Psychologist | 220 W State St, Boise, ID 83702-6052 | 2007-03-23 |
1528105624 | Laura Mckee Psy D L L C | Psychologist | 158 North 1st East Street, Driggs, ID 83422 | 2007-01-30 |
1619025251 | Dale Arlan Babcock | Psychologist | 1500 West Barrett Drive, Meridian, ID 83642 | 2007-01-08 |
1942368253 | Carl D. Haugen | Psychologist | 102 S 1st Ave Ste 202, Sandpoint, ID 83864-1398 | 2006-12-05 |
1124191895 | Laura Mckee | Psychologist | 158 North First East Street, Driggs, ID 83422 | 2006-11-17 |
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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.