F Richard Blue, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

515 Issued in GA

Practice address

6100 Lake Forrest Dr NW
Ste 510
Atlanta, GA 30328-3822

Phone

(404) 705-9770

Fax

(404) 531-0517

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Psychologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• F. Richard Blue PHD

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1083989479
  Medicare reassignment

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477615953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LAKE FORREST DR NW",
            "address_2": "STE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283822",
            "telephone_number": "404-705-9770",
            "fax_number": "404-531-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE FORREST DR NW",
            "address_2": "STE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283822",
            "telephone_number": "404-705-9770",
            "fax_number": "404-531-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "F",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00480191B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Heron Counseling LLC (Blue Heron Counseling)
• Blue Ridge Senior Housing, LLC
• Blue Sky Surgical Assistants, LLC
• Blue Topaz LLC
• Courtney Nicole Blue, NP
• Marvin Timothy Blue Jr., BCBA
• Bluebell ABA Therapy Georgia LLC
• Blueprints Pediatric Therapy
• Eliot H. Blum, M.D.
• Emily Blum, MD

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.