Active NPI
Ellen Marie Richter, PH.D. PSYCHOLOGY
- Clinical Psychologist
- College Point, NY
National Provider Identifier
1386785442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 006082
- Practice address
- 13719 14TH Ave
College Point, NY 11356-2011 - Phone
- (212) 838-3420
- Fax
- (212) 208-2474
- NPI assigned
- Feb 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 006082 | NY | |
| Clinical Psychologist | 103TC0700X | 006082 | NY | Primary |
Addresses
Primary practice location
13719 14TH Ave
College Point, NY 11356-2011
Mailing address
10705 70TH Ave
Lower Level
Forest Hills, NY 11375-4300
Phone (212) 838-3420
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1386785442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10705 70TH AVE",
"address_2": "LOWER LEVEL",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754300",
"telephone_number": "212-838-3420",
"fax_number": "212-208-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13719 14TH AVE",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113562011",
"telephone_number": "212-838-3420",
"fax_number": "212-208-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "ELLEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D. PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "006082",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "006082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.