Richard Gaines, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3956 Issued in NJ

Legal business name

RICHARD GAINES, PH.D., LLC

Practice address

88 W Ridgewood Ave
Ridgewood, NJ 07450-3199

Phone

(201) 444-9866

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard William Gaines, PH.D.

Title

Owner

Phone

(201) 444-9866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1235497744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DEER TRL N",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462113",
            "telephone_number": "201-314-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503199",
            "telephone_number": "201-444-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GAINES, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-444-9866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "061718",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Rezvani
• Rhoda H Cobin MD PA
• Rhoda H. Cobin MD PA
• Aarezo Riaz
• Richard Dow LMSW PC
• Sandra L Richard, CA, L.AC,
• Ridgewood Ambulatory Surgery Center
• Ridgewood Board of Education
• Ridgewood Chiropractic
• Ridgewood Corset Shop Inc

• Clinical Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.