Individual provider Active NPI

Richard Mays

  • Clinical Psychologist
  • Old Chatham, NY
National Provider Identifier
1477568335
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
007700 Issued in NY
Practice address
1219 Cty B
Old Chatham, NY 12136
Phone
(516) 776-6100
Fax
(516) 766-5471
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 007700 NY Primary

Addresses

Primary practice location

1219 Cty B
Old Chatham, NY 12136

Mailing address

8757 108TH St Apt C4
Richmond Hill, NY 11418-2227
Phone (516) 236-9415

Other identifiers 1

IdentifierTypeStateIssuer
02596798MedicaidNY

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
007700NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
R.P.P., Inc. Clinical Past Accepting new patients
RPP on-Site Psychology PC Clinical Past Accepting new patients
R.P.P. on-Site Psychology, PLLC Clinical PastSince Dec 16, 2010 Accepting new patients

Organizations & group practices 3

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1477568335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 108TH ST APT C4",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182227",
            "telephone_number": "516-236-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 CTY B",
            "city": "OLD CHATHAM",
            "state": "NY",
            "postal_code": "12136",
            "telephone_number": "516-776-6100",
            "fax_number": "516-766-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02596798",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Chatham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.