Deryck D'Arcy Richardson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2950 Issued in OH

Practice address

1425 E Dublin Granville Rd
Suite 204
Columbus, OH 43229-3325

Phone

(614) 888-5255

Fax

(614) 888-2306

NPI assigned

Dec 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Deryck D. Richardson, PH.D. LLC

  • Adult Mental Health Clinic/Center
  • Columbus, OH
  • NPI 1629340914
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1194887224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD",
            "address_2": "SUITE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293325",
            "telephone_number": "614-888-5255",
            "fax_number": "614-888-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD",
            "address_2": "SUITE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293325",
            "telephone_number": "614-888-5255",
            "fax_number": "614-888-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DERYCK",
        "middle_name": "D'ARCY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0453389",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy M Richardson, APRN-CNP
• Cierra Tranese Richardson, NURSE PRACTITIONER
• Courtney Michele Richardson, RN
• Dadrica Richardson
• Darcie E Richardson, CNP
• Diarra Richardson
• Dixie P Richardson
• Hannah Richardson
• Henrietta Richardson
• Jawana Richardson

• Clinical Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.