Individual provider Active NPI

Richard Scott Faulk, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1154398477
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME-0071987 Issued in FL
Practice address
7100 W Camino Real
Suite 202
Boca Raton, FL 33433-5578
Phone
(561) 218-1798
Fax
(561) 391-5054
NPI assigned
Mar 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME-0071987 FL Primary

Addresses

Primary practice location

7100 W Camino Real
Suite 202
Boca Raton, FL 33433-5578

Mailing address

7100 W Camino Real
Suite 202
Boca Raton, FL 33433-5578
Phone (561) 218-1798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000715 FL Practitioner - Psychiatry 8224138706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical University of South Carolina College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2601 E Oakland Park Blvd
Suite 207
Fort Lauderdale, FL 33306-1658
Phone (954) 615-1970

7100 W Camino Real
Suite 202
Boca Raton, FL 33433-5578
Phone (561) 218-1798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME-0071987FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S Faulk MD PA Psychiatry CurrentSince Nov 4, 2006 Accepting new patients

Locations

7100 Camino Real
Ste 123
Boca Raton, FL 33433
Phone (561) 218-1798

7100 Camino Real
Ste 202
Boca Raton, FL 33433
Phone (561) 218-1798

2601 E Oakland Park Blvd
Ste 207
Ft Lauderdale, FL 33306
Phone (954) 564-7055

942 NE 62nd St
Oakland Park, FL 33334
Phone (954) 574-6017

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1154398477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335578",
            "telephone_number": "561-218-1798",
            "fax_number": "561-391-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335578",
            "telephone_number": "561-218-1798",
            "fax_number": "561-391-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME-0071987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.