Active NPI
Richard John Rini, PH.D.
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1275980740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20041732A
- Practice address
- 4607 Midnight Woods St
San Antonio, TX 78249-1817 - Phone
- (812) 201-3862
- NPI assigned
- May 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20041732A | IN | Primary |
Addresses
Primary practice location
4607 Midnight Woods St
San Antonio, TX 78249-1817
Mailing address
4607 Midnight Woods St
San Antonio, TX 78249-1817
Phone (812) 201-3862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20041732A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463270400000",
"number": "1275980740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 MIDNIGHT WOODS ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782491817",
"telephone_number": "812-201-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4607 MIDNIGHT WOODS ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782491817",
"telephone_number": "812-201-3862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINI",
"first_name": "RICHARD",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-15",
"last_updated": "2016-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20041732A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.