Individual provider Active NPI

Richard Constant Vieille Jr., PH.D.

  • Clinical Psychologist
  • Carmel, CA
National Provider Identifier
1235152059
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 17561 Issued in CA
Practice address
Mission St and Eighth St
Sunset Terrace
Carmel, CA 93923
Phone
(831) 624-6488
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 17561 CA Primary

Addresses

Primary practice location

Mission St and Eighth St
Sunset Terrace
Carmel, CA 93923

Mailing address

PO Box 221931
Carmel, CA 93922-1931
Phone (831) 624-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100626000199 CA Practitioner - Psychologist Billing Independently 1355472994 Practice locations: Salinas, CA; Carmel, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26335 Carmel Rancho Blvd
Suite 7
Carmel, CA 93923-8743
Phone (831) 622-9877

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 17561CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard C. Vieille, Jr. Clinical PastSince Apr 26, 2010 Accepting new patients

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235152059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221931",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939221931",
            "telephone_number": "831-624-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MISSION ST AND EIGHTH ST",
            "address_2": "SUNSET TERRACE",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "93923",
            "telephone_number": "831-624-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEILLE",
        "first_name": "RICHARD",
        "middle_name": "CONSTANT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 17561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.