Individual provider Active NPI

Ralph Richadson, PHD.,LP.

  • Forensic Psychologist
  • North Miami, FL
National Provider Identifier
1336315399
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PY6671 Issued in FL
Practice address
1175 NE 125TH St
Suite 410
North Miami, FL 33161-5015
Phone
(305) 335-1800
Fax
(305) 893-3323
NPI assigned
Apr 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X PY6671 FL Primary

Addresses

Primary practice location

1175 NE 125TH St
Suite 410
North Miami, FL 33161-5015

Mailing address

1175 NE 125TH St
Suite 410
North Miami, FL 33161-5015
Phone (305) 335-1800

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

LicenseStateTypeSpecialty
PY6671FLMDForensic Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1336315399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST",
            "address_2": "SUITE 410",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615015",
            "telephone_number": "305-335-1800",
            "fax_number": "305-893-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST",
            "address_2": "SUITE 410",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615015",
            "telephone_number": "305-335-1800",
            "fax_number": "305-893-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHADSON",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "PHD.,LP.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY6671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.