PATRICK RICHARDSON (NPI# 1124028626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124028626 |
| Entity Type | Individual |
| Full Name | PATRICK RICHARDSON |
| Credential | PHD |
| Practice Address |
200 Medical Village Dr Edgewood KY 41017-3408 |
| Mailing Address |
17 Founders Ct Cold Spring KY 41076-1860 |
| Practice Telephone | 8595785900 |
| Practice Fax Number | 8595785940 |
| Mailing Telephone | 8597817017 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5236 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265984785 | Patrick Richardson | Nurse Practitioner | 1004 Bypass N, Lawrenceburg, KY 40342-8049 | 2016-11-01 |
| 1548820574 | Patrick Richardson | Nurse Practitioner | 1000 Asylum Ave Ste 2112, Hartford, CT 06105-1719 | 2019-06-20 |
| 1841702115 | Patrick P Richardson | Pharmacist | 620 Lafayette Rd, Hampton, NH 03842-3348 | 2017-10-26 |
| 1508110867 | Patrick T Richardson | Counselor | 800 N Rainbow Blvd Ste 100, Las Vegas, NV 89107-1190 | 2012-11-07 |
| 1134425051 | Patrick Richardson | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 | 2011-02-10 |
| Street Address |
200 MEDICAL VILLAGE DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472239 | Lucy R Betts | Counselor | 200 Medical Village Dr, Edgewood, KY 41017-3408 | 2005-07-26 |
| 1982126843 | Dana Nichole Parker-kist | Nurse Practitioner | 200 Medical Village Dr, Edgewood, KY 41017-3408 | 2017-07-12 |
| 1851830368 | Betty Besong- Malange | Nurse Practitioner | 200 Medical Village Dr, Edgewood, KY 41017-3408 | 2017-02-16 |
| 1215380100 | Madeleine Lansberry | Physician Assistant | 200 Medical Village Dr, Edgewood, KY 41017 | 2016-07-15 |
| 1811357890 | Kathleen Pearl Woods | Nurse Practitioner | 200 Medical Village Dr, Edgewood, KY 41017-3408 | 2016-03-03 |
| 1720459480 | John Michael Eason | Social Worker | 200 Medical Village Dr, Edgewood, KY 41017-3408 | 2015-10-07 |
| 1275903320 | Jaclyn Lunsford | Physician Assistant | 200 Medical Village Dr, Edgewood, KY 41017 | 2015-10-01 |
| 1922242841 | Nelson Tauro | Psychiatry & Neurology | 200 Medical Village Dr, St Elizabeth Physicians Behavioral Health, Edgewood, KY 41017 | 2009-04-22 |
| 1346379351 | Jessica Taylor | Social Worker | 200 Medical Village Dr, Edgewood, KY 41017 | 2007-03-05 |
| 1871657544 | Patrick Henry Kunkler | Family Medicine | 200 Medical Village Dr, Edgewood, KY 41017-3408 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376091728 | The Care Group At Safe Harbor | Psychologist | 1918 Pulaski Hwy, Edgewood, MD 21040-1612 | 2016-09-14 |
| 1821455718 | The Care Group At Safe Harbor | Psychologist | 833 Fisherman Ln, Edgewood, MD 21040-1948 | 2016-01-22 |
| 1316155120 | Joseph J Behler | Psychologist | 176 Barnwood Dr Ste B, Edgewood, KY 41017-2550 | 2007-05-18 |
| 1326042318 | Stan Heck | Psychologist | 176 Barnwood Dr, Edgewood, KY 41017-2501 | 2005-06-08 |
| 1265416713 | Phillip G Hester | Psychologist | 176 Barnwood Dr, Suite B, Edgewood, KY 41017-2501 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486230 | Angie Fabiola Hernandez | Psychologist | 1009 Fisk Ct, Lexington, KY 40511-8369 | 2020-10-26 |
| 1548869084 | Skaggs Consulting, Pllc | Psychologist | 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 | 2020-10-24 |
| 1467050856 | Tyler J Ryan | Psychologist | 4220 Houston Rd, Erlanger, KY 41018-3402 | 2020-10-16 |
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1396377164 | Mariya Leyderman | Psychologist | 974 Breckenridge Ln # 171, Louisville, KY 40207-4619 | 2020-02-10 |
| 1841821196 | Sally Losson Brenzel | Psychologist | 10503 Timberwood Cir Ste 205, Louisville, KY 40223-5395 | 2020-01-27 |
| 1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1902377864 | Green Meadows Wellness Center One, LLC | Psychologist | 1640 Meadow Creek Rd, Rockholds, KY 40759-9563 | 2018-12-17 |
| 1093299299 | Kallye Joanah Renner | Psychologist | 7426 Us 42 Ste 106, Florence, KY 41042-2056 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
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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.