DERYCK D. RICHARDSON, PH.D. LLC


Address: 1425 E Dublin Granville Rd, Suite 204, Columbus, OH 43229-3325
Phone: 6148885255

DERYCK D. RICHARDSON, PH.D. LLC (NPI# 1629340914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629340914
Entity Type Organization
Organization Name DERYCK D. RICHARDSON, PH.D. LLC
Practice Address 1425 E Dublin Granville Rd
Suite 204
Columbus
OH 43229-3325
Practice Telephone 6148885255
Practice Fax Number 6148882306
Mailing Telephone 6148885255
Mailing Fax Number 6148882306
Enumeration Date 2012-02-01
Last Update Date 2012-02-01
Authorized Official Name DR. DERYCK D'ARCY RICHARDSON (PRESIDENT)
Authorized Official Telephone 6148885255
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
2950 OH Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
2950 OH Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 0453389 05

Office Location

Street Address 1425 E DUBLIN GRANVILLE RD
SUITE 204
City COLUMBUS
State OH
Zip Code 43229-3325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194887224 Deryck D'arcy Richardson Psychologist 1425 E Dublin Granville Rd, Suite 204, Columbus, OH 43229-3325 2006-12-14
1801243662 Precise Mobility Solutions, Inc Non-emergency Medical Transport (VAN) 1425 E Dublin Granville Rd, Suite 111, Columbus, OH 43229-3325 2016-05-20
1477908606 Homeland Home Care Services LLC In Home Supportive Care 1425 E Dublin Granville Rd, Suite 207, Columbus, OH 43229-3325 2016-04-25
1265839906 Intra-national Home Care, LLC In Home Supportive Care 1425 E Dublin Granville Rd, Suite -214, Columbus, OH 43229-3325 2014-11-24
1386067429 Skilled Healthcare, LLC Nursing Care 1425 E Dublin Granville Rd, Suite 109, Columbus, OH 43229-3325 2014-01-25
1639426547 Abdirashid Mohamed Home Health 1425 E Dublin Granville Rd, 209, Columbus, OH 43229-3325 2012-08-09
1093070468 Helping Hands Care,llc Home Health 1425 E Dublin Granville Rd, Suit #103, Columbus, OH 43229-3325 2012-07-11
1952665440 L.a. Home Healthcare LLC Home Health 1425 E Dublin Granville Rd, Suite 203, Columbus, OH 43229-3325 2012-06-28
1902160633 Serenity Home Health Agency Plus Home Health 1425 E Dublin Granville Rd, Suite # 112, Columbus, OH 43229-3325 2012-06-27
1679899959 Serenity Home Health Agency, LLC Home Health 1425 E Dublin Granville Rd, Suite # 112, Columbus, OH 43229-3325 2010-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760095988 Place of Hope Inc. Non-emergency Medical Transport (VAN) 1395 E Dublin Granville Rd, Ste 321 #b, Columbus, OH 43229 2020-08-27
1831724723 Delvonne Mcadoo Technician 6075 Lepage Court, Columbus, OH 43229 2020-03-11
1962963405 Kayrisha Merica Taylor Case Manager/Care Coordinator 5900a Sharron Woods, Columbus, OH 43229 2019-03-27
1467922435 Latoya Kaye Ogden Case Manager/Care Coordinator 4987 Karl Rd, Columbus, OH 43229 2018-12-03
1265900393 Christiana Brown Case Manager/Care Coordinator 5900a Sharonwoods Blvd, Columbus, OH 43229 2018-11-07
1275008781 La Kenya Renee Turner Case Manager/Care Coordinator 5900 Sharonwoods Blvd, Columbus, OH 43229 2018-10-11
1811490295 Tiffany Nicole Anderson Case Manager/Care Coordinator 5900 Sharonwood Dr., Columbus, OH 43229 2018-03-13
1184138398 Samyell Terry Case Manager/Care Coordinator 5900 Sharonwoods, Col, OH 43229 2017-11-27
1619481108 Ohio Sleep Treatment LLC Dentist 6500 Busch Blvd Ste 104, Columbus, OH 43229 2017-11-20
1740793629 Mary Ervine Case Manager/Care Coordinator 5900 Sharonwoods Blv, Columbus, OH 43229 2017-11-14
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255997599 Jana Bergfeld Lisw LLC Clinic/Center 1071 Fishinger Rd Ste 211, Columbus, OH 43221-2301 2019-05-13
1326562117 Kathleencadmus LLC Clinic/Center 4589 Kenny Rd Ste 101b, Columbus, OH 43220-2778 2017-08-02
1366486680 Teen Challenge of Florida, Inc. Clinic/Center 15 W 10th St, Columbus, GA 31901-2744 2006-06-16
1902403231 Taylor M. Tharp, LLC Clinic/Center 2710 Billingsley Rd, Columbus, OH 43235-5978 2020-10-09
1326516261 Judy Ann Thomas Clinic/Center 2100 Comer Ave, Columbus, GA 31904-8725 2018-11-08
1083110944 Sanders Counseling Associates, LLC Clinic/Center 501 7th St N Ste 1, Columbus, MS 39701-4683 2018-03-31
1487158457 Ageless Counseling Clinic/Center 287 W Johnstown Rd, Columbus, OH 43230-2732 2018-03-22
1356860191 Pathway LLC Clinic/Center 1329 Wynnton Rd, Columbus, GA 31906-2919 2017-09-13
1558885335 Accord Behavioral Care LLC Clinic/Center 4589 Kenny Rd Ste E, Columbus, OH 43220-2770 2017-08-02
1063932119 Holistic Wellness Solutions LLC Clinic/Center 3099 Sullivant Ave Ste H, Columbus, OH 43204 2017-06-20
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Competitor

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City COLUMBUS
Zip Code 43229

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Dataset Information

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.

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