Richard Born, PH.D. LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY001283 Issued in GA

Legal business name

RICHARD BORN, PH.D. LLC

Practice address

1 Huntington Rd
#205
Athens, GA 30606-7204

Phone

(706) 543-7605

Fax

(706) 543-2397

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Richard Born, PH.D.NPI 1902895089

Title

Licensed Psychologist

Phone

(706) 543-7605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Robert Born, PH.D.

  • Counseling Psychologist
  • Athens, GA
  • NPI 1902895089
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1225221492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "#205",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-543-7605",
            "fax_number": "706-543-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "#205",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-543-7605",
            "fax_number": "706-543-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD BORN, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "BORN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "706-543-7605",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Rhodes, PTA
• Robert Rhodes III, MD
• Creedence Christopher Riblett, PT, DPT
• William Gaines Rice, D.D.S.
• Richard Bank. Psy.D., P.C.
• Paula Richards
• Rosemary Richards, MD
• Heather Richardson, PSYD
• W Scott Richardson, MD
• Sheryl L Richier, LPC

• Psychologist in Athens, GA
• Providers in Athens, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.