Individual provider Active NPI

Pamela A Richardson

  • Psychologist
  • Scottsbluff, NE
National Provider Identifier
1447397534
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
441 Issued in NE
Practice address
4110 Avenue D
Scottsbluff, NE 69361-4650
Phone
(308) 635-3171
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 441 NE Primary

Addresses

Primary practice location

4110 Avenue D
Scottsbluff, NE 69361-4650

Mailing address

325 E 38TH St
Scottsbluff, NE 69361-4612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110429000621 NE Practitioner - Clinical Psychologist 5597940841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

2208 Broadway
Scottsbluff, NE 69361-1970
Phone (308) 632-8084

3911 Ave B
Scottsbluff, NE 69361-4617

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
62.54
Promoting interoperability
98
Improvement activities
40
Cost
72.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Psychology, LLC Psychologist CurrentSince Jun 1, 2018 Accepting new patients
Regional West Physicians Clinic CurrentSince Jul 10, 2020 Accepting new patients

Locations

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

2208 Broadway
Scottsbluff, NE 69361
Phone (308) 632-8080

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447397534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 38TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 AVENUE D",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614650",
            "telephone_number": "308-635-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.