Individual provider Active NPI

Philip Ross Richard III, LMHP, PLP

  • Clinical Psychologist
  • Baton Rouge, LA
National Provider Identifier
1497312284
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1608 Issued in LA
Practice address
7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone
(225) 343-4232
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 1608 LA Primary

Addresses

Primary practice location

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006

Mailing address

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone (225) 343-4232

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

State licenses

LicenseStateTypeSpecialty
1608LAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Speech and Hearing Foundation, Inc Clinical CurrentSince Nov 21, 2021 Accepting new patients

Locations

7784 Innovation Park Dr
Baton Rouge, LA 70820
Phone (225) 343-4232

13460 Walsh Dr
Boys Town, NE 68010
Phone (531) 355-3358

Organizations & group practices 1

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1497312284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7784 INNOVATION PARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708207006",
            "telephone_number": "225-343-4232",
            "fax_number": "225-343-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7784 INNOVATION PARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708207006",
            "telephone_number": "225-343-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "PHILIP",
        "middle_name": "ROSS",
        "name_suffix": "III",
        "credential": "LMHP, PLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.