Richard Alan Paulsen, PH.D.
Individual provider Active NPI Psychologist · Sandusky, OH
NPI 1124141502 · NPPES record last updated Dec 22, 2011
Key facts
- NPI
- 1124141502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 4103 (OH)
- Practice address
- 1319 Hull Rd
Sandusky, OH 44870-6062 - Phone
- (419) 625-1686
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1319 Hull Rd
Sandusky, OH 44870-6062
Phone (419) 625-1686
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131219001952 | OH | Practitioner - Clinical Psychologist | 2264675701 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Bay Area Counselors, Inc. | Psychologist | Current |
Accepting new patients |
Locations
1319 Hull Rd
Sandusky, OH 44870
Phone (419) 625-1686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4103 | OH | Yes |
Addresses
Primary practice location
1319 Hull Rd
Sandusky, OH 44870-6062
Mailing address
1304 Wickford PL
Huron, OH 44839-1494
Phone (419) 433-7481
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0727673 | Medicaid | OH |
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.