Active NPI
Richard Alan Gianfagna, PH.D.
- Clinical Psychologist
- Richmond, IN
National Provider Identifier
1508847260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20010442A
- Practice address
- 408 S 14TH St
Richmond, IN 47374-6403 - Phone
- (765) 935-5344
- Fax
- (765) 966-8338
- NPI assigned
- Nov 9, 2005
- 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 | 20010442A | IN | Primary |
Addresses
Primary practice location
408 S 14TH St
Richmond, IN 47374-6403
Mailing address
408 S 14TH St
Richmond, IN 47374-6403
Phone (765) 935-5344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100256150A | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20010442A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McClain Chiropractic, LLC | Past | Accepting new patients | |
| Richard a Gianfagna, PH,D., P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Richmond, IN
- NPI 1316216195
-
- Chiropractor
- Richmond, IN
- NPI 1194087916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1508847260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 S 14TH ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473746403",
"telephone_number": "765-935-5344",
"fax_number": "765-966-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S 14TH ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473746403",
"telephone_number": "765-935-5344",
"fax_number": "765-966-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANFAGNA",
"first_name": "RICHARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20010442A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100256150A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.