Active NPI
R. Lynn Richards, PHD
- Clinical Psychologist
- Provo, UT
National Provider Identifier
1053408682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 263445-2501
- Practice address
- 1432 E. 850 S.
Provo, UT 84606 - Phone
- (801) 371-8787
- Fax
- (801) 371-8784
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 263445-2501 | UT | Primary |
Addresses
Primary practice location
1432 E. 850 S.
Provo, UT 84606
Mailing address
1432 E. 850 S.
Provo, UT 84606
Phone (801) 371-8787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110321001011 | UT | Practitioner - Clinical Psychologist | 7012190523 | Practice locations: Provo, UT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263445-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1053408682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 E. 850 S.",
"city": "PROVO",
"state": "UT",
"postal_code": "84606",
"telephone_number": "801-371-8787",
"fax_number": "801-371-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 E. 850 S.",
"city": "PROVO",
"state": "UT",
"postal_code": "84606",
"telephone_number": "801-371-8787",
"fax_number": "801-371-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "R.",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "263445-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.