Active NPI
Renee R. Richesin, M.D.
- Psychiatry Physician
- Vestavia Hills, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19202
- Practice address
- 1025 Montgomery Hwy Ste 200
Vestavia Hills, AL 35216-2830 - Phone
- (205) 637-3055
- Fax
- (205) 623-1686
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 19202 | AL | Primary |
Addresses
Primary practice location
1025 Montgomery Hwy Ste 200
Vestavia Hills, AL 35216-2830
Mailing address
1025 Montgomery Hwy Ste 200
Vestavia Hills, AL 35216-2830
Phone (205) 637-3055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19202 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| Alabama Post-Acute Medical Service 1 PC | Current | Accepting new patients | |
| NM Pacs 2 LLC | Current | Accepting new patients | |
| Wellspring Christian Clinic, Inc. | Past | Accepting new patients |
Locations
1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847
1020 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 253-2738
280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585
3312 Woodley Rd
Montgomery, AL 36116
Phone (251) 867-6077
1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485
857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801
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.
-
- Hospitalist Physician
- Phenix City, AL
- NPI 1073052403
-
- Clinical Psychologist
- Vestavia, AL
- NPI 1962526301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1306062989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MONTGOMERY HWY STE 200",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352162830",
"telephone_number": "205-637-3055",
"fax_number": "205-623-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MONTGOMERY HWY STE 200",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352162830",
"telephone_number": "205-637-3055",
"fax_number": "205-623-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHESIN",
"first_name": "RENEE",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "19202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vestavia Hills, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.