Active NPI
Richard Mays
- Clinical Psychologist
- Old Chatham, NY
National Provider Identifier
1477568335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 007700
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02596798 | Medicaid | NY |
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.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007700 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.