Individual provider Active NPI

Joel Stephan Richman, PH.D.

  • Clinical Psychologist
  • Hoffman Estates, IL
National Provider Identifier
1669583357
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-001934 Issued in IL
Practice address
2300 Barrington Rd
Suite 487
Hoffman Estates, IL 60169-2082
Phone
(847) 800-4412
Fax
(847) 446-7984
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-001934 IL Primary
Clinical Psychologist 103TC0700X 0767 NC

Addresses

Primary practice location

2300 Barrington Rd
Suite 487
Hoffman Estates, IL 60169-2082

Mailing address

1083 Elm St
Winnetka, IL 60093-2166
Phone (847) 800-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040624001554 IL Practitioner - Clinical Psychologist 1850377599 Practice locations: Hoffman Estates, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2300 Barrington Rd
Suite 487
Hoffman Estates, IL 60169-2082
Phone (847) 800-4412

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071-001934ILMDClinical Psychologist
0767NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology, S.C. Past Accepting new patients

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1669583357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 ELM ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932166",
            "telephone_number": "847-800-4412",
            "fax_number": "847-446-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BARRINGTON RD",
            "address_2": "SUITE 487",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692082",
            "telephone_number": "847-800-4412",
            "fax_number": "847-446-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "JOEL",
        "middle_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-001934",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "0767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.