Roberta M Richardson MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26423 Issued in CO

Legal business name

ROBERTA M RICHARDSON MD LLC

Practice address

950 Wadsworth Blvd
Ste 308
Lakewood, CO 80214-4591

Phone

(303) 233-1450

Fax

(303) 233-1119

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Roberta M Richardson, MD

Title

Owner

Phone

(303) 233-1450

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1578812335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD",
            "address_2": "STE 308",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144591",
            "telephone_number": "303-233-1450",
            "fax_number": "303-233-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD",
            "address_2": "STE 308",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144591",
            "telephone_number": "303-233-1450",
            "fax_number": "303-233-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA M RICHARDSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-233-1450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "26423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01264233",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasandra Marie Robbert, RN
• Leanna Robbins, RBT
• Robert C Nelson, DC, PC
• Robert E. Kleinman, MD PC
• Robert K and Esther Naomi Matoba
• Sydney Roberto
• Allison Maria Roberts, M.D.
• Evelyn Roberts
• Haley Roberts, LCSW
• Michelle Roberts, R.N.

• Psychiatry Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.