Michael C Riordan Psy D P a

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MICHAEL C RIORDAN PSY D P A

Practice address

2107 S 10TH St
Fort Pierce, FL 34950-5318

Phone

(772) 464-5555

Fax

(772) 468-8378

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lucy Riordan

Title

Registered Agent

Phone

(772) 464-5555

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Beth Lowery, PSY.D.

  • Psychologist
  • Charleston, SC
  • NPI 1710169859
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1366631608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 S 10TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505318",
            "telephone_number": "772-464-5555",
            "fax_number": "772-468-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 S 10TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505318",
            "telephone_number": "772-464-5555",
            "fax_number": "772-468-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C RIORDAN PSY D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "RIORDAN",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "772-464-5555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Michelle Merritt
• Jaime Alejandro Mesa, MBBS
• Tracy Messias
• Metropolitan Anesthesia Group PL
• MFP Opco LLC (The Manor of Fort Pierce)
• Michael C. Solomon, Mdpa
• Michael J Costello MD PA
• Judith Michalski, LCSW
• Vicki N Michel, APRN
• Mid Florida Radiation Oncology Asso

• Clinical Psychologist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.