Katie Allison Rickel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3790 Issued in NC

Practice address

1 Monaco CT
Durham, NC 27713-6106

Phone

(215) 530-8180

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1326596453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MONACO CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136106",
            "telephone_number": "215-530-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MONACO CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136106",
            "telephone_number": "215-530-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKEL",
        "first_name": "KATIE",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Rose Richman, LCSW
• Donna Jo Richmond, MA, CCC-SLP
• Kimberly Anne Richter, MD
• Michael R Richter, DDS. MS
• Kyle Joseph Rickards, PHYSICIAN ASSISTANT
• Karen Ricker, CRNA
• Kathleen Dolores Rickert-Madden, M.D.
• Marlene Rickert, FNP
• Breanna Nichole Ricks, M.S. CF-SLP
• Emily Ricks, CPNP

• Clinical Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.

Verify at the official NPI Registry.