Kevin J Richards, PH.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PSY002508 Issued in GA

Practice address

199 Frasier St SE
Marietta, GA 30060-2201

Phone

(678) 310-3442

Fax

(678) 564-4401

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Kevin J Richards, PH.D., P.C.

  • Forensic Psychologist
  • Marietta, GA
  • NPI 1841488350

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1396838983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 FRASIER ST SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602201",
            "telephone_number": "678-310-3442",
            "fax_number": "678-564-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 FRASIER ST SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602201",
            "telephone_number": "678-310-3442",
            "fax_number": "678-564-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "GA",
            "license": "PSY002508",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000950441A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard W King Jr
• Richard Walls, DMD,PC
• Aryelle Richards
• Cindy K Richards, PT, OCS, MTC, MBA
• Holly Elizabeth Richards
• Kim Bernard Richards Jr.
• Madigan Raper Richards, DO
• Michelle R Richards
• Nicholas Juwan Richards
• Sharaine Michele Richards, CRNA

• Forensic Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Forensic Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.