Active NPI
Elizabeth Richards, PSY.D.
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1518211549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 019656
- Practice address
- 3343 Peachtree Rd NE Ste 145-1742
Atlanta, GA 30326-1085 - Phone
- (347) 470-0127
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00655100 | NJ | |
| Clinical Psychologist | 103TC0700X | 019656 | NY | Primary |
Addresses
Primary practice location
3343 Peachtree Rd NE Ste 145-1742
Atlanta, GA 30326-1085
Mailing address
3343 Peachtree Rd NE Ste 145-1742
Atlanta, GA 30326-1085
Phone (347) 470-0127
Other practice location 1
26 Court St
Suite 600
Brooklyn, NY 11242-0103
Phone (347) 470-0127
Other practice location 2
1178 Broadway Fl 3
New York, NY 10001-5666
Phone (347) 470-0127
Other practice location 3
29 Laidlaw Ave Apt 2
Jersey City, NJ 07306-1505
Phone (347) 470-0127
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00655100 | NJ | MD | Clinical Psychologist |
| 019656 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1518211549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3343 PEACHTREE RD NE STE 145-1742",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261085",
"telephone_number": "347-470-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3343 PEACHTREE RD NE STE 145-1742",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261085",
"telephone_number": "347-470-0127"
}
],
"practiceLocations": [
{
"address_1": "26 Court St",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112420103",
"country_code": "US",
"telephone_number": "347-470-0127",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1178 Broadway Fl 3",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100015666",
"country_code": "US",
"telephone_number": "347-470-0127",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "29 Laidlaw Ave Apt 2",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073061505",
"country_code": "US",
"telephone_number": "347-470-0127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDS",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00655100",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "019656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.