RICHARDSON PSYCHIATRIC P.A. NPI 1619123056

NPI Information

NPI: 1619123056
Provider Name: RICHARDSON PSYCHIATRIC P.A.
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
4500 I 55 N STE 234
JACKSON, MS
ZIP 39211
Phone: (601) 982-8531
Get Directions

RICHARDSON PSYCHIATRIC P.A. is a geriatric psychiatry psychiatry neurology in Jackson, MS. The provider is 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. RICHARDSON PSYCHIATRIC P.A. NPI is 1619123056. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 I 55 N STE 234
JACKSON, MS
ZIP 39211-932
Phone: (601) 982-8531
Fax: (601) 982-1115

The provider's authorized official is John D Richardson .
The authorized official title is Owner/president and has the following contact phone number (601) 982-8535.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 8/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00119784	MEDICAID	MISSISSIPPI
2	587948354B	OTHER	MISSISSIPPI	BLUE CROSS BLUE SHIELD
3	E46986	MEDICARE UPIN	MISSISSIPPI
4	1409871	MEDICAID	LOUISIANA
5	260000227	MEDICARE PIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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