Shadrick Riddick

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

205 13TH St
Suite 3300
San Francisco, CA 94103-2461

Phone

(415) 552-4660

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Morrisana West Incorporated

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1194862706
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154549624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 PAGE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173027",
            "telephone_number": "415-864-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 13TH ST",
            "address_2": "SUITE 3300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032461",
            "telephone_number": "415-552-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDICK",
        "first_name": "SHADRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Ann Ricks
• Ricky Fishman & Barbara Rinkoff, PTR
• Philip M Rico II, BA
• Ephraim Riday
• Robert Riddell
• Caroline Marie Riddle, MD
• Cathleen Marie Riddley, MHRS, M.A., CI/CT,
• Emily Rider-Longmaid, MD
• Dean Loller Rider, MD
• Ann Ridge

• Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.