DR. RICHARD T ELMORE JR. (NPI# 1740214766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740214766 |
| Entity Type | Individual |
| Full Name | DR. RICHARD T ELMORE JR. |
| Credential | PHD |
| Practice Address |
100 Rialto Pl Suite 754 Melbourne FL 32901-3055 |
| Practice Telephone | 3217289620 |
| Practice Fax Number | 3219511928 |
| Mailing Telephone | 3217289620 |
| Mailing Fax Number | 3219511928 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY3228 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER NUMBER | 75204 | 01 |
| FL | TRICARE PROVIDER # | 592345361 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326146564 | Richard Arthur Elmore | Marriage & Family Therapist | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2006-09-20 |
| 1033108105 | Richard Christopher Elmore | Nurse Anesthetist, Certified Registered | 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 | 2005-10-20 |
| Street Address |
100 RIALTO PL SUITE 754 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063717908 | Fortney Therapeutics Plc | Psychologist | 100 Rialto Pl, Suite 754, Melbourne, FL 32901-3055 | 2011-01-25 |
| 1851618771 | Psychological Associates of Melbourne, Inc. | Psychologist | 100 Rialto Pl, Suite 749, Melbourne, FL 32901-3055 | 2010-05-03 |
| 1700116274 | Richard T Elmore Jr Phd Pa | Psychologist | 100 Rialto Pl, Suite 754, Melbourne, FL 32901-3055 | 2010-01-06 |
| 1952477143 | Wende J Anderson | Psychologist | 100 Rialto Pl, St 749, Melbourne, FL 32901-3055 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023903 | Kiristin Eggett | Psychologist | 986 Fostoria Dr, Melbourne, FL 32940-1512 | 2020-04-30 |
| 1891203642 | Kristin Dezen | Psychologist | 141 Beth Ln Apt 264, Melbourne, FL 32904-5044 | 2018-01-15 |
| 1346679966 | Glenn Sloman | Psychologist | 100 Rialto Pl Ste 718, Melbourne, FL 32901-3002 | 2013-11-04 |
| 1235380833 | Robert Winston | Psychologist | 4010 Lakebreeze Blvd, Melbourne, FL 32934-7716 | 2008-10-02 |
| 1851572598 | Michael Weinberg | Psychologist | 65 E Nasa Blvd Ste 101, Melbourne, FL 32901-1961 | 2007-11-23 |
| 1134337926 | Wanda Louise Bethea | Psychologist | 405 E Strawbridge Ave, Melbourne, FL 32901-4558 | 2007-05-18 |
| 1528119609 | Andrea Verier | Psychologist | 107 N Palm Ave, Melbourne, FL 32903-3131 | 2007-01-15 |
| 1467516096 | Valerie Allen | Psychologist | 101 E New Haven Ave, Melbourne, FL 32901-4501 | 2006-12-20 |
| 1053492397 | Michael E Kelley | Psychologist | 150 W University Blvd, Melbourne, FL 32901-6982 | 2006-10-17 |
| 1235220609 | Susan P. Trefry | Psychologist | 1507 Riverview Dr, Melbourne, FL 32901-4625 | 2006-09-28 |
| Find all providers in MELBOURNE | ||||
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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.