Active NPI
Richard E Dimond, PH.D.
- Clinical Psychologist
- Springfield, IL
National Provider Identifier
1548212145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 2921 Greenbriar Dr
Suite B-1
Springfield, IL 62704-6425 - Phone
- (217) 546-3118
- Fax
- (217) 546-3184
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 | IL | Primary |
Addresses
Primary practice location
2921 Greenbriar Dr
Suite B-1
Springfield, IL 62704-6425
Mailing address
2921 Greenbriar Dr
Suite B-1
Springfield, IL 62704-6425
Phone (217) 546-3118
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7364205 | Other | IL | AETNA |
| 013265 (MHS) | Other | IL | VALUE OPTIONS |
| 064593 | Other | IL | HEALTH ALLIANCE |
| 137075 | Other | IL | HEALTH LINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-001611 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548212145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 GREENBRIAR DR",
"address_2": "SUITE B-1",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046425",
"telephone_number": "217-546-3118",
"fax_number": "217-546-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 GREENBRIAR DR",
"address_2": "SUITE B-1",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046425",
"telephone_number": "217-546-3118",
"fax_number": "217-546-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMOND",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7364205",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "013265 (MHS)",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "064593",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "137075",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.