Daniel James Richardson, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

26856 Issued in CA

Practice address

4040 Duquesne Ave
Culver City, CA 90232-2804

Phone

(310) 253-6332

NPI assigned

Aug 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Los Angeles County Department of Mental Health

  dba M.E.T.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South El Monte, CA
  • NPI 1154337418
  NPD (past)
• Los Angeles County Department of Mental Health

  dba Ccmet

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Culver City, CA
  • NPI 1639623267
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1154515351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E IMPERIAL AVE",
            "address_2": "APT 9",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452357",
            "telephone_number": "310-308-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 DUQUESNE AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322804",
            "telephone_number": "310-253-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26856",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "26856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Rhodes
• Monica Ribeiro, OTR/L
• Orlando Ricci, MD
• Richard B Jurmain MD Medical Corporation
• Richard B. Jurmain Medical Corporation
• Duane Richardson
• Skylar Richardson
• Ursula M Richardson
• Demitri Richmond, LCSW
• Lucy Richmond

• Clinical Psychologist in Culver City, CA
• Providers in Culver City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.