NPI Details
DR. Rory Fleming Richardson, PH.D., FICPPM is a psychologist in Lincoln City, OR. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Rory Fleming Richardson, PH.D., FICPPM NPI is 1629051776. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4466 NE DEVILS LAKE BLVD
SUITE A
LINCOLN CITY, OR
ZIP 97367-197
Phone: (541) 994-4462
Fax: (541) 994-6329
The NPI 1629051776 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).
The enumeration date for this NPI number is 11/22/2005 and was last updated on 3/2/2009.
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 | 101YM0800X | Counselor | Mental Health | C0068 | OREGON | No |
| 2 | 103G00000X | Clinical Neuropsychologist | | 1249 | OREGON | No |
| 3 | 103T00000X | Psychologist | | 1249 | OREGON | 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 | R 7WBQ0 | OTHER | OREGON | PACC HMO |
| 2 | 069078000 | OTHER | OREGON | REGENCE BLUE CROSS BLUE S |
| 3 | 150576 | MEDICAID | OREGON | |
| 4 | 092951 | MEDICAID | OREGON | |
| 5 | OR00543 | OTHER | | MEDICARE NORIDIAN EDI |
| 6 | 090021822 | OTHER | OREGON | STATE OF OREGON DDS |
| 7 | 171641 | OTHER | OREGON | MENTAL HEALTH NETWORK |
| 8 | S29717 | MEDICARE UPIN | | |
| 9 | R100980 | MEDICARE PIN | OREGON | |
