Thomas Kenneth Richard Jr.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1814 Issued in CT

Practice address

45 Fair St
Wallingford, CT 06492-4208

Phone

(203) 305-2861

NPI assigned

May 31, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Phase Psychotherapy and Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wallingford, CT
  • NPI 1699525352
  NPD Authorized official

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1073961173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WEYBOSSET ST",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844042",
            "telephone_number": "203-305-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FAIR ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924208",
            "telephone_number": "203-305-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "THOMAS",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Rezendes, D.P.T.
• Ludmila Reznik
• Rhoda L Kreisman PH D
• Yuliya Viktorovna Riat, M.D.
• Stacey Ricca, LCSW
• Gretchen Elizabeth Richardson, LCSW
• Kristina Ridnert, P.T.
• Rania Rifaey, MD
• Erin Elizabeth Riley
• Cheryl K Rinell, CNM LNM

• Marriage & Family Therapist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.