Brian Richardson, PSYD, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

71004102 Issued in IL

Legal business name

BRIAN RICHARDSON, PSYD, PC

Practice address

3233 N Arlington Heights Rd
Suite 301
Arlington Heights, IL 60004-1557

Phone

(847) 650-0307

Fax

(847) 222-9769

NPI assigned

Nov 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian J Richardson, PSYD

Title

Owner/ Psychologist

Phone

(847) 650-0307

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1003143298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 301",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041557",
            "telephone_number": "847-650-0307",
            "fax_number": "847-222-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 301",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041557",
            "telephone_number": "847-650-0307",
            "fax_number": "847-222-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN RICHARDSON, PSYD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-650-0307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71004102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.