KEVIN J RICHARDS, PH.D., P.C. (NPI# 1841488350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841488350 |
| Entity Type | Organization |
| Organization Name | KEVIN J RICHARDS, PH.D., P.C. |
| Practice Address |
199 Frasier St Se Marietta GA 30060-2201 |
| Practice Telephone | 6783103442 |
| Practice Fax Number | 6785644401 |
| Mailing Telephone | 6783103442 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | KEVIN J RICHARDS (OWNER) |
| Authorized Official Telephone | 6783103442 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002508 | GA | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY002508 | GA | Behavioral Health & Social Service Providers |
| Street Address |
199 FRASIER ST SE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396838983 | Kevin J Richards | Psychologist | 199 Frasier St Se, Marietta, GA 30060-2201 | 2006-10-02 |
| 1548889728 | Marcus Graham & Associates | Clinic/Center | 199 Frasier St Se, Marietta, GA 30060-2201 | 2020-04-08 |
| 1346889516 | Marcus Graham | Social Worker | 199 Frasier St Se, Marietta, GA 30060-2201 | 2020-01-05 |
| 1609333756 | Deandre Lloyd | Social Worker | 199 Frasier St Se, Marietta, GA 30060-2201 | 2019-02-25 |
| 1063925600 | Stacie Price | Psychologist | 199 Frasier St Se, Marietta, GA 30060-2201 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932720489 | Avs Consulting | Psychologist | 4015 S Cobb Dr Se Ste 265, Smyrna, GA 30080-6374 | 2020-05-06 |
| 1356492037 | James Edwin Stark | Psychologist | 1755 The Exchange Se, Suite 375, Atlanta, GA 30339-7400 | 2007-01-16 |
| 1639564271 | Colbi Sutton | Psychologist | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2015-03-31 |
| 1487059580 | Neurobehavioral Associates LLC | Psychologist | 639 13th St, Augusta, GA 30901-1007 | 2014-10-31 |
| 1063766467 | Rommys Alemania Beltran | Psychologist | 2662 Holcomb Bridge Rd, Suite 340, Alpharetta, GA 30022-6819 | 2012-11-07 |
| 1245476639 | Marc David Einhorn | Psychologist | 11755 Pointe Pl, Roswell, GA 30076-4656 | 2009-01-06 |
| 1922266014 | Southern Psychological Services | Psychologist | 1213 E Jackson St, Thomasville, GA 31792-4748 | 2008-05-27 |
| 1609943240 | Kelly Leanne Farris | Psychologist | 3000 Schatulga Rd, Bldg. 5, Columbus, GA 31907-3117 | 2006-11-29 |
| 1629039813 | Dennis L Herendeen | Psychologist | 6130 Prestley Mill Rd, Suite A, Douglasville, GA 30134-2288 | 2006-03-29 |
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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.