Individual provider Active NPI

Jessica Jean Richter, D.O.

  • Child & Adolescent Psychiatry Physician
  • Stony Brook, NY
National Provider Identifier
1275779688
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
251284 Issued in NY
Practice address
Stony Brook Psychiatric Associates
HSC Level 10 Room 020
Stony Brook, NY 11794-8101
Phone
(631) 444-6050
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 251284 NY Primary

Addresses

Primary practice location

Stony Brook Psychiatric Associates
HSC Level 10 Room 020
Stony Brook, NY 11794-8101

Mailing address

Stony Brook Psychiatric Associates
HSC Level 10 Room 020
Stony Brook, NY 11794-8101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140611001878 NY Practitioner - Psychiatry 0547484669 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
The Long Island Home CurrentSince Apr 1, 2019 Accepting new patients
The Long Island Home CurrentSince Apr 1, 2019 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Oct 10, 2015 Accepting new patients
Maimonides Department of Psychiatry FPP CurrentSince Oct 10, 2015 Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients

Locations

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

920 48th St
Brooklyn, NY 11219
Phone (718) 283-7800

Interoperability endpoints

  • Direct secure messaging: jessicarichter@mai.allscriptsdirect.net

Organizations & group practices 7

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": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1275779688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK PSYCHIATRIC ASSOCIATES",
            "address_2": "HSC LEVEL 10 ROOM 020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK PSYCHIATRIC ASSOCIATES",
            "address_2": "HSC LEVEL 10 ROOM 020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948101",
            "telephone_number": "631-444-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "251284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.