Mary Christine Richard

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

3001021727 Issued in WI

Practice address

3058 Saddle Brooke TRL
Sun Prairie, WI 53590-9394

Phone

(608) 571-4921

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Christine Durham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychology Clinic Inc.

  • Clinic/Center
  • Madison, WI
  • NPI 1336222769
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1447989546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N MIDVALE BLVD STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053265",
            "telephone_number": "608-238-9991",
            "fax_number": "608-238-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 SADDLE BROOKE TRL",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909394",
            "telephone_number": "608-571-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "WI",
            "license": "3001021727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DURHAM",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew K Rekowski, CAA
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• Richard T Wright, OD (Wright Vision Care)
• Melissa Ricker-Bouche, MD
• Danielle Marie Rieckhoff, MT-BC
• Brian Riedel
• Carly Elizabeth Rieger, PHARMD
• Logan Michelle Rigsby, OTR/L

• School Counselor in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• School Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.