Active NPI
Richard Ermalinski, PH.D.
- Clinical Psychologist
- Sugar Land, TX
National Provider Identifier
1447320122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20854
- Practice address
- 101 Southwestern Boulevard
Suite 113
Sugar Land, TX 77478 - Phone
- (281) 242-0777
- Fax
- (281) 242-0111
- NPI assigned
- Nov 9, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20854 | TX | Primary |
Addresses
Primary practice location
101 Southwestern Boulevard
Suite 113
Sugar Land, TX 77478
Mailing address
101 Southwestern Blvd
Suite 113
Sugar Land, TX 77478
Phone (281) 242-0777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055147 | Other | TX | VALUE OPTIONS ID # |
| 00L41B | Other | TX | BCBS ID# |
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": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1447320122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SOUTHWESTERN BLVD",
"address_2": "SUITE 113",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77478",
"telephone_number": "281-242-0777",
"fax_number": "281-242-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTHWESTERN BOULEVARD",
"address_2": "SUITE 113",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77478",
"telephone_number": "281-242-0777",
"fax_number": "281-242-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERMALINSKI",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "20854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS ID #",
"identifier": "055147",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID#",
"identifier": "00L41B",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.