Individual provider Active NPI

Toni Richardi, PSY.D.

  • Psychologist
  • Wilton Manors, FL
National Provider Identifier
1295111623
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 9346 Issued in FL
Practice address
1650 NE 26TH St Ste 201
Wilton Manors, FL 33305-1431
Phone
(954) 271-3397
Fax
(954) 947-3028
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 9346 FL Primary

Addresses

Primary practice location

1650 NE 26TH St Ste 201
Wilton Manors, FL 33305-1431

Mailing address

1650 NE 26TH St Ste 201
Wilton Manors, FL 33305-1431
Phone (954) 271-3397

Other practice location 1

2717 E Oakland Park Blvd.
Suite 202
Fort Lauderdale, FL 33306
Phone (954) 271-3397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180705000518 FL Practitioner - Clinical Psychologist 3173825130 Reassigns benefits to 1 organization
I20230123002313 NC Practitioner - Clinical Psychologist 3173825130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1650 NE 26TH St
Suite 207
Wilton Manors, FL 33305-1431
Phone (954) 271-3397

5 Lower Bend Rd
Asheville, NC 28805-1796
Phone (954) 271-3397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 9346FLMDPsychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1295111623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 NE 26TH ST STE 201",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051431",
            "telephone_number": "954-271-3397",
            "fax_number": "954-947-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 NE 26TH ST STE 201",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051431",
            "telephone_number": "954-271-3397",
            "fax_number": "954-947-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 E Oakland Park Blvd.",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "33306",
            "country_code": "US",
            "telephone_number": "954-271-3397",
            "fax_number": "954-947-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDI",
        "first_name": "TONI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 9346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.