Active NPI
Richard S Luck, EDD
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1346471505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0715000001
- Practice address
- 9702 Gayton Rd
Suite 181
Richmond, VA 23238-4907 - Phone
- (804) 741-7500
- Fax
- (804) 741-7900
- NPI assigned
- Aug 5, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0715000001 | VA | Primary |
Addresses
Primary practice location
9702 Gayton Rd
Suite 181
Richmond, VA 23238-4907
Mailing address
9702 Gayton Rd
Suite 181
Richmond, VA 23238-4907
Phone (804) 741-7500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701000183 | Other | VA | BOARD OF COUNSELING |
| 0715000001 | Other | VA | BOARD OF COUNSELING |
| 0810001482 | Other | VA | BOARD OF PSYCHOLOGY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0715000001 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychiatric & Counseling Associates PC | Past | Accepting new patients | |
| Chapman Senior Care, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Richmond, VA
- NPI 1669439691
-
- Psychiatry Physician
- Richmond, VA
- NPI 1285686543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1346471505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9702 GAYTON RD",
"address_2": "SUITE 181",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232384907",
"telephone_number": "804-741-7500",
"fax_number": "804-741-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9702 GAYTON RD",
"address_2": "SUITE 181",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232384907",
"telephone_number": "804-741-7500",
"fax_number": "804-741-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCK",
"first_name": "RICHARD",
"middle_name": "S",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-05",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0715000001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF COUNSELING",
"identifier": "0701000183",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF COUNSELING",
"identifier": "0715000001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PSYCHOLOGY",
"identifier": "0810001482",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.