Dale Robert Richards, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

34-00-5463-R Issued in OH

Practice address

92 Northwoods Blvd Ste C2
Columbus, OH 43235-4720

Phone

(614) 841-9763

Fax

(882) 353-9588

NPI assigned

Jul 13, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Northwoods Clinic, LLC

  • Child & Adolescent Psychiatry Physician
  • Columbus, OH
  • NPI 1841698669
  NPD Authorized official

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1497753370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 NORTHWOODS BLVD STE C2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354720",
            "telephone_number": "614-841-9763",
            "fax_number": "888-235-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 NORTHWOODS BLVD STE C2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354720",
            "telephone_number": "614-841-9763",
            "fax_number": "882-353-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "DALE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "34-00-5463-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Richards, BA, LSW,
• Angela C Richards, LSW, LCDC III
• Angela C. Richards, APRN.CNP
• Ashley Courtney Richards, CNP
• Colleen F Richards, CDCA
• David R Richards, DO
• Debra Richards, RN
• Fatina Marie Richards, MA, LPC
• Gillian Abigail Richards
• James Richards Jr., PMHNP-BC

• Child & Adolescent Psychiatry Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Child & Adolescent Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.