F. Richard Blue PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

515 Issued in GA

Legal business name

F. RICHARD BLUE PHD

Practice address

6100 Lake Forrest Dr NW Ste 510
Atlanta, GA 30328-3837

Phone

(404) 705-9770

Fax

(404) 531-0517

NPI assigned

Mar 19, 2012

Last updated

Mar 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

F. Richard Blue

Title

Psychologist

Phone

(404) 705-9770

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• F Richard Blue, PHD

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1477615953
  Medicare reassignment
• Elizabeth Wake Carson, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1215143631
  NPD (past)

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1083989479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LAKE FORREST DR NW STE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283837",
            "telephone_number": "404-705-9770",
            "fax_number": "404-531-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE FORREST DR NW STE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283837",
            "telephone_number": "404-705-9770",
            "fax_number": "404-531-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. RICHARD BLUE PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "F. RICHARD",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-705-9770"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00480191B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amaka Eunice Ezimora, MD
• Daniela Sara Ezratty, NP
• Chinyere Ugonna Nwokah Ezukanma, LMSW
• Caitlin Ezzell
• F & F Duncan Inc.
• F. William, Dowda, M.D., P.C.
• Aimee Jordan Kiyoko Fabella
• David Faber, MD
• Dorothy Faber
• Jamesa Joyelle Fabien, MD

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.