Individual provider Active NPI

Elizabeth Richards, PSY.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1518211549
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019656 Issued in NY
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

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
35SI00655100NJMDClinical Psychologist
019656NYMDClinical 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.

Verify at the official NPI Registry.