Individual provider Active NPI

Amber Wheeler Richardson, PHD

  • Clinical Psychologist
  • Poplar Bluff, MO
National Provider Identifier
1265712780
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2011028483 Issued in MO
Practice address
2210 Barron Rd Ste 120
Poplar Bluff, MO 63901-1922
Phone
(573) 785-6536
Fax
(573) 785-0100
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 2011028483 MO Primary

Addresses

Primary practice location

2210 Barron Rd Ste 120
Poplar Bluff, MO 63901-1922

Mailing address

110 S 2ND St
Ellington, MO 63638-9400
Phone (573) 663-2313

Other practice location 1

603 E Summit St
Doniphan, MO 63935-1142
Phone (573) 996-3667 ext. 1117

Other practice location 2

711 Nickey St
Poplar Bluff, MO 63901-6544
Phone (573) 785-7047

Other practice location 3

11001 US-160
Harviell, MO 63945
Phone (573) 804-9561

Other practice location 4

220 East Broad Street
Naylor, MO 63953
Phone (573) 399-2311

Other practice location 5

2879 James Blvd
Poplar Bluff, MO 63901-3395
Phone (573) 609-8800

Other practice location 6

61 Highway Y
Ellington, MO 63638-7802
Phone (573) 663-2525

Other practice location 7

315 W Mulberry Ste A
Pilot Knob, MO 63663-7883
Phone (573) 546-0602

Other practice location 8

1 Hals Plz Ste A
Piedmont, MO 63957-1631
Phone (573) 223-4800

Other practice location 9

225 Physicians Park Ste 304
Poplar Bluff, MO 63901-3930
Phone (573) 727-5500 ext. 7

Other practice location 10

202 Allen St
Annapolis, MO 63620-8778
Phone (573) 598-4213

Other practice location 11

109 LeRoux St
Doniphan, MO 63935-1038
Phone (573) 996-2136

Other practice location 12

109 Plum St Ste A
Doniphan, MO 63935-1225
Phone (573) 351-0150

Other practice location 13

225 Physicians Park Ste 200
Poplar Bluff, MO 63901-3921
Phone (573) 727-5500 ext. 5

Other practice location 14

109 Plum St Ste B
Doniphan, MO 63935-1225
Phone (573) 351-0220

Other practice location 15

405 Main Street
Van Buren, MO 63965
Phone (573) 323-4253

Other practice location 16

17959 Main St
Eminence, MO 65466-6375
Phone (573) 226-5505

Other practice location 17

2879 James Blvd
Poplar Bluff, MO 63901-3395
Phone (573) 712-1610

Other practice location 18

101 E Batten Street
Naylor, MO 63953
Phone (573) 804-1779

Other practice location 19

1300 Victory Ln
Poplar Bluff, MO 63901-3300
Phone (573) 785-5566 ext. 17097

Other practice location 20

2300 Baugh Ln
Poplar Bluff, MO 63901-2402
Phone (573) 785-3037 ext. 16044

Other practice location 21

289 Broadway St
Neelyville, MO 63954-7176
Phone (573) 804-9494

Other practice location 22

3277 US Highway 160 W
Doniphan, MO 63935-5710
Phone (573) 804-9527

Other practice location 23

225 Physicians Park Ste 102
Poplar Bluff, MO 63901-3918
Phone (573) 727-5500 ext. 2

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110923000371 MO Practitioner - Clinical Psychologist 2567633571 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Big Springs Medical Association Current Accepting new patients
Big Springs Medical Association CurrentSince Aug 21, 2017 Accepting new patients
Big Springs Medical Association CurrentSince Aug 21, 2017 Accepting new patients
John O. Wood Psychological Services PastSince Mar 20, 2010 Accepting new patients

Locations

110 S 2nd St
Ellington, MO 63638
Phone (573) 663-2316

2210 Barron Rd
Ste 120
Poplar Bluff, MO 63901
Phone (573) 785-2005

Interoperability endpoints

  • Direct secure messaging: amber.richardson.1@14422.direct.athenahealth.com

Organizations & group practices 4

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1265712780",
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    "practiceLocations": [
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            "address_1": "603 E Summit St",
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        {
            "address_1": "711 Nickey St",
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            "telephone_number": "573-663-2525",
            "fax_number": "573-663-7844",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "315 W Mulberry Ste A",
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            "postal_code": "636637883",
            "country_code": "US",
            "telephone_number": "573-546-0602",
            "fax_number": "573-546-0546",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1 Hals Plz Ste A",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "MO",
            "postal_code": "639571631",
            "country_code": "US",
            "telephone_number": "573-223-4800",
            "fax_number": "573-223-7911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Physicians Park Ste 304",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013930",
            "country_code": "US",
            "telephone_number": "573-727-5500 x7",
            "fax_number": "573-399-2646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Allen St",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MO",
            "postal_code": "636208778",
            "country_code": "US",
            "telephone_number": "573-598-4213",
            "fax_number": "573-598-1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 LeRoux St",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639351038",
            "country_code": "US",
            "telephone_number": "573-996-2136",
            "fax_number": "573-996-5216",
            "country_name": "United States",
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        {
            "address_1": "109 Plum St Ste A",
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            "postal_code": "639351225",
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            "telephone_number": "573-351-0150",
            "fax_number": "573-996-2245",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "225 Physicians Park Ste 200",
            "address_purpose": "LOCATION",
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            "state": "MO",
            "postal_code": "639013921",
            "country_code": "US",
            "telephone_number": "573-727-5500 x5",
            "fax_number": "573-313-3684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Plum St Ste B",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639351225",
            "country_code": "US",
            "telephone_number": "573-351-0220",
            "fax_number": "573-996-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Main Street",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "MO",
            "postal_code": "63965",
            "country_code": "US",
            "telephone_number": "573-323-4253",
            "fax_number": "573-323-0154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17959 Main St",
            "address_purpose": "LOCATION",
            "city": "Eminence",
            "state": "MO",
            "postal_code": "654666375",
            "country_code": "US",
            "telephone_number": "573-226-5505",
            "fax_number": "573-226-1256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2879 James Blvd",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013395",
            "country_code": "US",
            "telephone_number": "573-712-1610",
            "fax_number": "573-776-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Batten Street",
            "address_purpose": "LOCATION",
            "city": "Naylor",
            "state": "MO",
            "postal_code": "63953",
            "country_code": "US",
            "telephone_number": "573-804-1779",
            "fax_number": "573-804-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Victory Ln",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013300",
            "country_code": "US",
            "telephone_number": "573-785-5566 x17097",
            "fax_number": "573-413-4194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Baugh Ln",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639012402",
            "country_code": "US",
            "telephone_number": "573-785-3037 x16044",
            "fax_number": "573-413-4506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Neelyville",
            "state": "MO",
            "postal_code": "639547176",
            "country_code": "US",
            "telephone_number": "573-804-9494",
            "fax_number": "573-804-9493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3277 US Highway 160 W",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "MO",
            "postal_code": "639355710",
            "country_code": "US",
            "telephone_number": "573-804-9527",
            "fax_number": "573-804-9536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Physicians Park Ste 102",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013918",
            "country_code": "US",
            "telephone_number": "573-727-5500 x2",
            "fax_number": "573-413-4609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "AMBER",
        "middle_name": "WHEELER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2011028483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.