Active NPI
Richard Alton Starrett, PSYCHOLOGIST
- Psychologist
- Coalinga, CA
National Provider Identifier
1104138130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 13628
- Practice address
- 24511 W Jayne Ave
Box 5000
Coalinga, CA 93210-9503 - Phone
- (559) 934-3099
- Fax
- (559) 934-3095
- NPI assigned
- Jul 7, 2010
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 13628 | CA | Primary |
Addresses
Primary practice location
24511 W Jayne Ave
Box 5000
Coalinga, CA 93210-9503
Mailing address
793 E Foothill Blvd Ste a
#179
San Luis Obispo, CA 93405-1699
Phone (805) 771-9868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 13628 | CA | MD | Psychologist |
| 32582 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1104138130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 E FOOTHILL BLVD STE A",
"address_2": "#179",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051699",
"telephone_number": "805-771-9868",
"fax_number": "805-771-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24511 W JAYNE AVE",
"address_2": "BOX 5000",
"city": "COALINGA",
"state": "CA",
"postal_code": "932109503",
"telephone_number": "559-934-3099",
"fax_number": "559-934-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARRETT",
"first_name": "RICHARD",
"middle_name": "ALTON",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-07",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 13628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coalinga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.