RICQUE L. BRISTER


Address: 56 Hanover Ln, Suite., 100, Chico, CA 95973-7230
Phone: 5308999301

RICQUE L. BRISTER (NPI# 1932320389) 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) 1932320389
Entity Type Individual
Full Name RICQUE L. BRISTER
Credential MD
Practice Address 56 Hanover Ln
Suite., 100
Chico
CA 95973-7230
Practice Telephone 5308999301
Practice Fax Number 5308999344
Mailing Telephone 5308999301
Mailing Fax Number 5308999344
Enumeration Date 2007-05-02
Last Update Date 2020-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
A42685 CA Behavioral Health & Social Service Providers

Office Location

Street Address 56 HANOVER LN
SUITE., 100
City CHICO
State CA
Zip Code 95973-7230

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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548440258 Frederick Schlaff, Md, Inc. Psychologist 1660 Humboldt Rd Ste 3, Chico, CA 95928-9199 2007-11-09

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Competitor

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City CHICO
Zip Code 95973

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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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