Active NPI
Randy Michener Rischette, MD
- Psychiatry Physician
- Sebastopol, CA
National Provider Identifier
1467679258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A554920
- Practice address
- 103 Morris Street
Suite G
Sebastopol, CA 95472-9499 - Phone
- (707) 524-4431
- NPI assigned
- Apr 20, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A554920 | CA | Primary |
Addresses
Primary practice location
103 Morris Street
Suite G
Sebastopol, CA 95472-9499
Mailing address
3230 Pharoahs Lane
Sebastopol, CA 95472-9499
Phone (707) 829-3235
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A554920 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467679258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 PHAROAHS LANE",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954729499",
"telephone_number": "707-829-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MORRIS STREET",
"address_2": "SUITE G",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954729499",
"telephone_number": "707-524-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISCHETTE",
"first_name": "RANDY",
"middle_name": "MICHENER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A554920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.