Active NPI
Richard Rapp
- Psychologist
- Saint Clair Shores, MI
National Provider Identifier
1184957342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301005945
- Legal business name
- RICHARD RAPP
- Practice address
- 22811 Greater Mack Ave
Suite L-8
Saint Clair Shores, MI 48080-2021 - Phone
- (586) 771-4606
- Fax
- (313) 882-9722
- NPI assigned
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Leo Rapp, PHD
- Title
- Organization Owner
- Phone
- (586) 771-4606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301005945 | MI | Primary |
Addresses
Primary practice location
22811 Greater Mack Ave
Suite L-8
Saint Clair Shores, MI 48080-2021
Mailing address
22811 Greater Mack Ave
Suite L-8
Saint Clair Shores, MI 48080-2021
Phone (586) 771-4606
National Provider Directory
National Provider DirectoryLocations
22811 Greater Mack Ave
Ste L8
St Clr Shores, MI 48080
Phone (586) 771-4606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1184957342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22811 GREATER MACK AVE",
"address_2": "SUITE L-8",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802021",
"telephone_number": "586-771-4606",
"fax_number": "313-882-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22811 GREATER MACK AVE",
"address_2": "SUITE L-8",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802021",
"telephone_number": "586-771-4606",
"fax_number": "313-882-9722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD RAPP",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-04",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "RAPP",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "LEO",
"authorized_official_title_or_position": "ORGANIZATION OWNER",
"authorized_official_telephone_number": "586-771-4606",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MI",
"license": "6301005945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.