Individual provider Active NPI

Richard Jay Higgins Jr., PSY.D.

  • Clinical Psychologist
  • East Chatham, NY
National Provider Identifier
1154435931
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
014615 Issued in NY
Practice address
694 County Route 5
East Chatham, NY 12060-2822
Phone
(518) 605-2223
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 014615 NY Primary

Addresses

Primary practice location

694 County Route 5
East Chatham, NY 12060-2822

Mailing address

694 County Route 5
East Chatham, NY 12060-2822
Phone (518) 392-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040913001409 NY Practitioner - Clinical Psychologist 8022085695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy Psychology of New York PLLCGroup PAC ID 2264774793, 10 clinicians

Practice addresses (Care Compare)

14415 68TH Rd
Flushing, NY 11367-1330
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014615NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Citizens Care Group,LLP Clinical PastSince Aug 21, 1995 Accepting new patients

Organizations & group practices 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1154435931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 COUNTY ROUTE 5",
            "city": "EAST CHATHAM",
            "state": "NY",
            "postal_code": "120602822",
            "telephone_number": "518-392-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 COUNTY ROUTE 5",
            "city": "EAST CHATHAM",
            "state": "NY",
            "postal_code": "120602822",
            "telephone_number": "518-605-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "RICHARD",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chatham, NY

Sources for this page

Verify at the official NPI Registry.