Organization Active NPI

Richard W Raney PHD Psychologist PC

  • Psychologist
  • New Hartford, NY
National Provider Identifier
1609107242
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
009216-1 Issued in NY
Legal business name
RICHARD W RANEY PHD PSYCHOLOGIST PC
Practice address
107 Genesee St
New Hartford, NY 13413-2323
Phone
(315) 738-0393
Fax
(315) 738-1176
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Richard Wilton Raney, PHDNPI 1972530376
Title
Owner
Phone
(315) 738-0393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 009216-1 NY Primary

Addresses

Primary practice location

107 Genesee St
New Hartford, NY 13413-2323

Mailing address

107 Genesee St
New Hartford, NY 13413-2323
Phone (315) 738-0393

Other identifiers 1

IdentifierTypeStateIssuer
01047814MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110707000162 NY Part B Supplier - Clinic/Group Practice 6204014657 Receives reassigned benefits from 1 practitioner
Practice locations: New Hartford, NY

National Provider Directory

National Provider Directory

Locations

107 Genesee St
New Hartford, NY 13413
Phone (315) 724-6702

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1609107242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132323",
            "telephone_number": "315-738-0393",
            "fax_number": "315-738-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132323",
            "telephone_number": "315-738-0393",
            "fax_number": "315-738-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W RANEY PHD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-738-0393",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009216-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01047814",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.