Active NPI
Richard David Garnett, PH.D.
- Clinical Psychologist
- Glenville, NY
National Provider Identifier
1669447603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5312
- Practice address
- 133 Saratoga Rd
Professional Building, Suite 3
Glenville, NY 12302-4108 - Phone
- (518) 399-4051
- Fax
- (518) 399-5447
- NPI assigned
- Feb 22, 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 | 5312 | NY | Primary |
Addresses
Primary practice location
133 Saratoga Rd
Professional Building, Suite 3
Glenville, NY 12302-4108
Mailing address
133 Saratoga Rd
Professional Building, Suite 3
Glenville, NY 12302-4108
Phone (518) 399-4051
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000490835001 | Other | NY | BLUE SHIELD NENY PROVIDE# |
| 0005445 | Other | NY | GHI PROVIDER NUMBER |
| 41104 | Other | NY | MVP PROVIDER NUMBER |
| 00712189 | Medicaid | NY | |
| 37840 | Other | NY | CIGNA PROVIDER NUMBER |
| 131941 | Other | NY | VALUE OPTIONS PROVIDER # |
| S05312-4 | Other | NY | NYS WORKER'S COMP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5312 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669447603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 SARATOGA RD",
"address_2": "PROFESSIONAL BUILDING, SUITE 3",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024108",
"telephone_number": "518-399-4051",
"fax_number": "518-399-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 SARATOGA RD",
"address_2": "PROFESSIONAL BUILDING, SUITE 3",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024108",
"telephone_number": "518-399-4051",
"fax_number": "518-399-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNETT",
"first_name": "RICHARD",
"middle_name": "DAVID",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "5312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NENY PROVIDE#",
"identifier": "000490835001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "0005445",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER NUMBER",
"identifier": "41104",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00712189",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "37840",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER #",
"identifier": "131941",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS WORKER'S COMP #",
"identifier": "S05312-4",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.