Individual provider Active NPI

Richard David Garnett, PH.D.

  • Clinical Psychologist
  • Glenville, NY
National Provider Identifier
1669447603
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5312 Issued in NY
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000490835001OtherNYBLUE SHIELD NENY PROVIDE#
0005445OtherNYGHI PROVIDER NUMBER
41104OtherNYMVP PROVIDER NUMBER
00712189MedicaidNY
37840OtherNYCIGNA PROVIDER NUMBER
131941OtherNYVALUE OPTIONS PROVIDER #
S05312-4OtherNYNYS 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

LicenseStateTypeSpecialty
5312NYMDAcupuncturist

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.

Verify at the official NPI Registry.