Active NPI
Richard Dale Temple, PH.D.
- Psychologist
- Tampa, FL
National Provider Identifier
1396157277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY5782
- Practice address
- 322 W Bearss Ave
Tampa, FL 33613-1228 - Phone
- (813) 541-7799
- NPI assigned
- May 27, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY5782 | FL | Primary |
| Counseling Psychologist | 103TC1900X | PY5782 | FL |
Addresses
Primary practice location
322 W Bearss Ave
Tampa, FL 33613-1228
Mailing address
322 W Bearss Ave
Tampa, FL 33613-1228
Phone (813) 541-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141013001260 | FL | Practitioner - Clinical Psychologist | 7517187651 | Practice locations: Tampa, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
322 W Bearss Ave
Tampa, FL 33613-1228
Phone (813) 541-7799
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY5782 | FL | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1396157277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 W BEARSS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131228",
"telephone_number": "813-541-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 W BEARSS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131228",
"telephone_number": "813-541-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "RICHARD",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-27",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY5782",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY5782",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.