Active NPI
Howard Brandon Risher, M.A., L.P.A.
- Psychologist
- Charlotte, NC
National Provider Identifier
1386980290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4582
- Practice address
- 5970 Fairview Rd
Suite 420
Charlotte, NC 28210 - Phone
- (704) 763-6608
- Fax
- (704) 554-9956
- NPI assigned
- Dec 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4582 | NC | Primary |
| Family Psychologist | 103TF0000X | NC | ||
| Psychoanalyst | 102L00000X | NC | ||
| Psychologist | 103T00000X | NC | ||
| Counseling Psychologist | 103TC1900X | NC | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | NC |
Addresses
Primary practice location
5970 Fairview Rd
Suite 420
Charlotte, NC 28210
Mailing address
2210 Sumner Green Ave.
Unit O
Charlotte, NC 28203
Phone (704) 763-6608
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4582 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1386980290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 SUMNER GREEN AVE.",
"address_2": "UNIT O",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "704-763-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 FAIRVIEW RD",
"address_2": "SUITE 420",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28210",
"telephone_number": "704-763-6608",
"fax_number": "704-554-9956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISHER",
"first_name": "HOWARD",
"middle_name": "BRANDON",
"name_prefix": "Mr.",
"credential": "M.A., L.P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-20",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4582",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.