Individual provider Active NPI

Richard Rizzo, PHD, LP

  • Cognitive & Behavioral Psychologist
  • Westland, MI
National Provider Identifier
1174709398
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
6301002416 Issued in MI
Practice address
28303 Joy Rd
Westland, MI 48185-5524
Phone
(734) 513-1122
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 6301002416 MI Primary

Addresses

Primary practice location

28303 Joy Rd
Westland, MI 48185-5524

Mailing address

28303 Joy Rd
Westland, MI 48185-5524
Phone (734) 513-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080528000350 MI Practitioner - Clinical Psychologist 6204914450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Wayne State University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primacare, L.L.C.Group PAC ID 1951489194, 3 clinicians

Practice addresses (Care Compare)

28303 Joy Rd
Westland, MI 48185-5524
Phone (734) 513-1122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primacare, L.L.C. CurrentSince May 22, 2010 Accepting new patients
Primacare , L.L.C. CurrentSince May 22, 2010 Accepting new patients
Primacare LLC Past Accepting new patients

Locations

14930 Laplaisance Rd
Ste 138
Monroe, MI 48161
Phone (734) 241-9574

28303 Joy Rd
Westland, MI 48185
Phone (734) 458-8729

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAFDCA

Organizations & group practices 3

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1174709398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28303 JOY RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481855524",
            "telephone_number": "734-513-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28303 JOY RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481855524",
            "telephone_number": "734-513-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "RICHARD",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301002416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.