RICHARDSON PSYCHIATRIC NPI 1982168407

NPI Information

NPI: 1982168407
Provider Name: RICHARDSON PSYCHIATRIC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3660 N LAKE SHORE DR STE 201
CHICAGO, IL
ZIP 60613
Phone: (773) 599-9246
Get Directions

RICHARDSON PSYCHIATRIC is a primary care nurse practitioner in Chicago, IL. RICHARDSON PSYCHIATRIC NPI is 1982168407. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3660 N LAKE SHORE DR STE 201
CHICAGO, IL
ZIP 60613-302
Phone: (773) 599-9246

The provider's authorized official is Andrew D Richardson .
The authorized official title is Nurse Practitioner and has the following contact phone number (773) 732-6427.

The enumeration date for this NPI number is 1/29/2019 and was last updated on 1/29/2019.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	363LP2300X	Nurse Practitioner	Primary Care			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 Issuer
1	1144639527	OTHER	BLUE CROSS BLUE SHIELD
2	1144639527	OTHER	AETNA
3	1144639527	OTHER	CIGNA

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

NPI Synchronization or Removal

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