Individual provider Active NPI

Dorinda Angela Gaynelle Richberg, LMHC NCC

  • Mental Health Counselor
  • Melville, NY
National Provider Identifier
1609930429
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004735 Issued in NY
Practice address
275 Broadhollow Rd Ste 120
Melville, NY 11747-4863
Phone
(845) 279-5908
Fax
(845) 622-5055
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X 004735 NY Primary

Addresses

Primary practice location

275 Broadhollow Rd Ste 120
Melville, NY 11747-4863

Mailing address

63 Court St
West Babylon, NY 11704-2107
Phone (917) 478-3914

Other names 1

  • Dorinda Webb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260417003367 NY Practitioner - Mental Health Counselor 2567938491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

275 Broadhollow Rd
Suite 120
Melville, NY 11747-4863
Phone (845) 279-5908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004735NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Mental Health CurrentSince May 14, 2026 Accepting new patients

Locations

275 Broadhollow Rd
Ste 120
Melville, NY 11747
Phone (631) 323-6872

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1609930429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 COURT ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117042107",
            "telephone_number": "917-478-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BROADHOLLOW RD STE 120",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474863",
            "telephone_number": "845-279-5908",
            "fax_number": "845-622-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHBERG",
        "first_name": "DORINDA",
        "middle_name": "ANGELA GAYNELLE",
        "name_prefix": "Mrs.",
        "credential": "LMHC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORINDA",
            "last_name": "WEBB",
            "credential": "LMHC NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.