Active NPI
Richard Paul Lookatch, PH.D.
- Intellectual & Developmental Disabilities Psychologist
- Bloomington, IN
National Provider Identifier
1407932791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- WAIVER CERTIFICATION
- Practice address
- 700 S Grant St
Bloomington, IN 47401-4733 - Phone
- (812) 334-1209
- Fax
- (812) 334-1209
- NPI assigned
- Oct 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | WAIVER CERTIFICATION | IN | Primary |
Addresses
Primary practice location
700 S Grant St
Bloomington, IN 47401-4733
Mailing address
700 S Grant St
Bloomington, IN 47401-4733
Phone (812) 334-1209
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WAIVER CERTIFICATION | IN | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407932791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S GRANT ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474014733",
"telephone_number": "812-334-1209",
"fax_number": "812-334-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S GRANT ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474014733",
"telephone_number": "812-334-1209",
"fax_number": "812-334-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOKATCH",
"first_name": "RICHARD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "IN",
"license": "WAIVER CERTIFICATION",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.