Richard S Oxhorn, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6210 Issued in FL

Practice address

204 Laguna Villa Blvd
A-23
Jacksonville Beach, FL 32250-4053

Phone

(904) 625-1101

NPI assigned

Oct 3, 2006

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Vermont College of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Covenant Counseling Services Inc

  • Clinical Psychologist
  • Ponte Vedra, FL
  • NPI 1760576888
  Medicare reassignment NPD Authorized official
• T Med Behavioral Inc

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1497719272
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1114011228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9088 SWEET TREE TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569672",
            "telephone_number": "904-625-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LAGUNA VILLA BLVD",
            "address_2": "A-23",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504053",
            "telephone_number": "904-625-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXHORN",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew A Orpiano, ATC
• Ortho Home Health Care, LLC
• Erik Javier Ortiz
• Stephanie Ortman, M.D.
• Mohana Oshea
• P a T H Health Center Inc
• Paula Page, ARNP
• Cristina Marie Palleschi Winkler
• Palms Therapy Group, LLC
• Lourdes Palomino-Pitocchi, M.D.

• Clinical Psychologist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.