Active NPI
Lakaren Deann Rickman, PH.D.
- Clinical Psychologist
- Columbus, GA
National Provider Identifier
1104166578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY004241
- Practice address
- 2100 Comer Ave
Columbus, GA 31904-8725 - Phone
- (706) 596-5500
- Fax
- (706) 596-5539
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY004241 | GA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY004241 | GA | |
| Health Psychologist | 103TH0004X | PSY004241 | GA | |
| Health Service Psychologist | 103TH0100X | PSY004241 | GA | |
| Clinical Psychologist | 103TC0700X | PSY004241 | GA | Primary |
Addresses
Primary practice location
2100 Comer Ave
Columbus, GA 31904-8725
Mailing address
2100 Comer Ave
Columbus, GA 31904-8725
Phone (706) 596-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY004241 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercymed of Columbus Inc | Current | Accepting new patients | |
| Winchester Community Mental Health Center, Inc. | Current | Accepting new patients | |
| Valley Physician Enterprise Inc | Past | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Past | Accepting new patients |
Locations
3679 Steam Mill Rd
Columbus, GA 31906
Phone (706) 507-4687
36 Ricketts Dr
Winchester, VA 22601
Phone (540) 535-1112
20B Ricketts Dr
Winchester, VA 22601
Phone (540) 535-1112
Organizations & group practices 5
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.
-
- Clinic/Center
- Columbus, GA
- NPI 1154315422
-
- Family Medicine Physician
- Columbus, GA
- NPI 1316729734
-
- Psychiatry Physician
- Winchester, VA
- NPI 1457593188
-
- Radiology Clinic/Center
- New Market, VA
- NPI 1811372576
-
- Pediatrics Physician
- Front Royal, VA
- NPI 1447799416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1104166578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 COMER AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048725",
"telephone_number": "706-596-5500",
"fax_number": "706-965-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 COMER AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048725",
"telephone_number": "706-596-5500",
"fax_number": "706-596-5539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKMAN",
"first_name": "LAKAREN",
"middle_name": "DEANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "GA",
"license": "PSY004241",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "GA",
"license": "PSY004241",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "GA",
"license": "PSY004241",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "GA",
"license": "PSY004241",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY004241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.