Active NPI
Richard L. Pichiotino, LLP
- Psychologist
- Fraser, MI
National Provider Identifier
1447334925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301008646
- Practice address
- 16664 15 Mile Rd
Fraser, MI 48026-3713 - Phone
- (586) 294-3030
- Fax
- (586) 294-0805
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301008646 | MI | Primary |
Addresses
Primary practice location
16664 15 Mile Rd
Fraser, MI 48026-3713
Mailing address
31451 Hartford Dr
Warren, MI 48088-7308
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008646 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1447334925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31451 HARTFORD DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480887308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16664 15 MILE RD",
"city": "FRASER",
"state": "MI",
"postal_code": "480263713",
"telephone_number": "586-294-3030",
"fax_number": "586-294-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHIOTINO",
"first_name": "RICHARD",
"middle_name": "L.",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301008646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fraser, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.