Active NPI
Elbert Greer Richardson Jr., M.D.
- Psychiatry Physician
- New Haven, CT
National Provider Identifier
1093808727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 037889
- Practice address
- 234 Church St Ste 301
New Haven, CT 06510-1807 - Phone
- (203) 215-7472
- Fax
- (203) 215-7472
- NPI assigned
- Oct 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 037889 | CT | |
| Psychiatry Physician | 2084P0800X | 037889 | CT | Primary |
Addresses
Primary practice location
234 Church St Ste 301
New Haven, CT 06510-1807
Mailing address
341 Boston Post Rd Ste 1
Old Saybrook, CT 06475-1551
Phone (203) 215-7472
Other practice location 1
950 Campbell Ave
West Haven, CT 06516
Phone (203) 932-5711 ext. 3957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 2, 2019 through Oct 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1093808727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 BOSTON POST RD STE 1",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751551",
"telephone_number": "203-215-7472",
"fax_number": "203-826-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 CHURCH ST STE 301",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065101807",
"telephone_number": "203-215-7472",
"fax_number": "203-215-7472"
}
],
"practiceLocations": [
{
"address_1": "950 Campbell Ave",
"address_purpose": "LOCATION",
"city": "West Haven",
"state": "CT",
"postal_code": "06516",
"country_code": "US",
"telephone_number": "203-932-5711 x3957",
"fax_number": "203-937-4789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ELBERT",
"middle_name": "GREER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "CT",
"license": "037889",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "037889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.