Individual provider Active NPI

Stephen Clark Richardson, D.O.

  • Psychiatry Physician
  • Pensacola, FL
National Provider Identifier
1639523400
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS16888 Issued in FL
Practice address
305 Corday St
Pensacola, FL 32503-2214
Phone
(850) 908-2315
NPI assigned
Apr 19, 2016
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS16888 FL Primary

Addresses

Primary practice location

305 Corday St
Pensacola, FL 32503-2214

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 352-9500

Other practice location 1

1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone (850) 469-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104001645 FL Practitioner - Psychiatry 1153617782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
William Carey University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians
Psychological Associates, P.aGroup PAC ID 1052388014, 10 clinicians

Practice addresses (Care Compare)

1040 Gulf Breeze Pkwy
Suite 204
Gulf Breeze, FL 32561-7808
Phone (850) 469-7771

1120 N Palafox St
Pensacola, FL 32501-2608
Phone (850) 434-5033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16888FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Jul 24, 2023 Accepting new patients
Psychological Associates, P.a. Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Baptist Medical Group LLC CurrentSince Jul 24, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients

Locations

1040 Gulf Breeze Pkwy
Ste 204
Gulf Breeze, FL 32561
Phone (850) 469-7771

1120 N Palafox St
Pensacola, FL 32501
Phone (850) 434-5033

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

305 Corday St
Pensacola, FL 32503
Phone (448) 227-8478

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1639523400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-352-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CORDAY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032214",
            "telephone_number": "850-908-2315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325011836",
            "country_code": "US",
            "telephone_number": "850-469-3500",
            "fax_number": "850-595-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "STEPHEN",
        "middle_name": "CLARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS16888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.