Organization Active NPI

Richard Rapp

  • Psychologist
  • Saint Clair Shores, MI
National Provider Identifier
1184957342
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301005945 Issued in MI
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

Updated by the provider on Sep 4, 2009

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.