Individual provider Active NPI

Elizabeth L Richeson, PHD

  • Clinical Psychologist
  • El Paso, TX
National Provider Identifier
1033126966
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23889 Issued in TX
Practice address
600 Sunland Park Dr
BLDG. 6 Ste. 100
El Paso, TX 79912-5115
Phone
(915) 584-3636
Fax
(915) 587-0487
NPI assigned
Aug 2, 2006
Last updated
Dec 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23889 TX Primary

Addresses

Primary practice location

600 Sunland Park Dr
BLDG. 6 Ste. 100
El Paso, TX 79912-5115

Mailing address

1001 Star Ridge
El Paso, TX 79912
Phone (915) 833-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120418000805 TX Practitioner - Clinical Psychologist 6406017490 Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 Sunland Park Dr
BLDG 6 Suite 100
El Paso, TX 79912-5167
Phone (915) 584-3636

600 Sunland Park Dr
Suite 100
El Paso, TX 79912-5115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23889TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1033126966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 STAR RIDGE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-833-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUNLAND PARK DR",
            "address_2": "BLDG. 6 STE. 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125115",
            "telephone_number": "915-584-3636",
            "fax_number": "915-587-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHESON",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.