DR. CAROL LACEY RICHARDSON (NPI# 1780950436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780950436 |
| Entity Type | Individual |
| Full Name | DR. CAROL LACEY RICHARDSON |
| Credential | PHD |
| Practice Address |
4316 Lake Stone Trl Fort Worth TX 76123-8009 |
| Practice Telephone | 8175422595 |
| Mailing Telephone | 8175422595 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 35034 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124504253 | Carol Elizabeth Richardson | Counselor | 12803 Twinbrook Pkwy Apt 204, Rockville, MD 20851-2446 | 2018-07-11 |
| 1073051892 | Carol Richardson | Family Medicine | 103 S 12th Ave, Laurel, MS 39440-4322 | 2017-02-01 |
| 1013045483 | Carol Richardson | Counselor | 915 8th Ave N, Nashville, TN 37208-2621 | 2007-02-28 |
| 1669588620 | Carol C Richardson | Nurse Anesthetist, Certified Registered | 4550 Investment Dr Ste 100, Troy, MI 48098-6334 | 2006-08-22 |
| 1992854749 | Carol Cooper Richardson | Physical Therapist | 407 Carson St, Hot Springs, AR 71901-6852 | 2007-01-10 |
| 1619039146 | Carol Marie Richardson | Nurse Practitioner | 1525 W Caro Rd, Caro, MI 48723-9686 | 2006-12-14 |
| 1154364578 | Carol Richardson | Psychiatry & Neurology | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2006-06-14 |
| 1083654511 | Carol J Richardson | Internal Medicine | 759 Chestnut St, Springfield, MA 01107-1619 | 2006-06-06 |
| Street Address |
4316 LAKE STONE TRL |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76123-8009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1306361431 | Kelley Phillips | Counselor | 5013 Pallas Court, Fort Worth, TX 76123 | 2017-08-09 |
| 1396280756 | Chisholm Trail Emergency Center | Clinic/Center | 5500 Sycamore School Rd., Ste. 150, Fort Worth, TX 76123 | 2016-12-21 |
| 1457801391 | Point of Grace Home Health | Registered Nurse | 2533 Mill Spring Pass, Fort, TX 76123 | 2016-10-04 |
| 1992253306 | Jason Bowers | Specialist/Technologist, Other | 5316 Quail Feather Dr, Fort Worth, TX 76123 | 2016-09-14 |
| 1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
| 1033551577 | Michael Rose | Specialist | 4924 Belladonna Dr, Fort Worth, TX 76123 | 2013-07-25 |
| 1265871768 | Anna Uppal | Dentist | 100 Wolfe Nursery Street, 180, Stephenville, TX 76123 | 2013-06-18 |
| 1366880627 | Mesa Springs, LLC | Psychiatric Hospital | 5560 Mesa Springs Drive, Fort Worth, TX 76123 | 2013-06-10 |
| Find all providers in zip 76123 | ||||
| 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 |
|---|---|---|---|---|
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1306481205 | Luma Psychology Pllc | Psychologist | 2201 Dottie Lynn Pkwy Ste 127, Fort Worth, TX 76120-4435 | 2019-11-14 |
| 1710484985 | Jordana Elyse Mortimer | Psychologist | 1208 W Magnolia Ave Ste 234, Fort Worth, TX 76104-8801 | 2018-04-12 |
| 1255848750 | William Travis Gardner | Psychologist | 4436 Robertson Rd, Fort Worth, TX 76135-9438 | 2018-01-05 |
| 1760895130 | Mark Schmidt | Psychologist | 6308 Ferncreek Ln, Fort Worth, TX 76179-4701 | 2014-06-03 |
| 1891113676 | Lisa Hensley | Psychologist | 4415 Morris Ct, Fort Worth, TX 76103-3226 | 2014-03-31 |
| 1265781454 | Elizabeth O Oriola-otenaike | Psychologist | 6620 Trinity Heights Blvd, Fort Worth, TX 76132-3578 | 2012-09-03 |
| 1477834133 | Larry Wayne Carter II | Psychologist | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2011-09-07 |
| 1639358385 | Beatrix Wagner | Psychologist | 6300 John Ryan Dr, Fort Worth, TX 76132-4122 | 2007-10-30 |
| 1427250083 | Stephen Jay Karten | Psychologist | 6707 Brentwood Stair Rd Ste 218, Fort Worth, TX 76112-3324 | 2007-06-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76123 |
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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.