Active NPI
Richard Temple Klein III, EDS
- School Psychologist
- Boca Raton, FL
National Provider Identifier
1679351043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS1756
- Practice address
- 5301 N Federal Hwy Ste 370
Boca Raton, FL 33487-4910 - Phone
- (561) 203-9812
- NPI assigned
- Sep 18, 2023
- Last updated
- Sep 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS1756 | FL | Primary |
Addresses
Primary practice location
5301 N Federal Hwy Ste 370
Boca Raton, FL 33487-4910
Mailing address
1640 NE 5TH St
Fort Lauderdale, FL 33301-1324
Phone (773) 490-9301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS1756 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1679351043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 NE 5TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333011324",
"telephone_number": "773-490-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 N FEDERAL HWY STE 370",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334874910",
"telephone_number": "561-203-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "RICHARD",
"middle_name": "TEMPLE",
"name_suffix": "III",
"credential": "EDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.