Richard A New, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M-8429 Issued in ID

Practice address

1498 Midway Ave
Suite 2
Ammon, ID 83406-4587

Phone

(208) 552-0920

Fax

(208) 529-2564

NPI assigned

Jun 14, 2006

Last updated

May 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 20, 2017 through Jun 20, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Richard a New MD PA

  • Psychiatry Physician
  • Idaho Falls, ID
  • NPI 1336306091
  Authorized official Same address or phone
• Bore LLC

  • Family Medicine Physician
  • Ammon, ID
  • NPI 1447880570
  NPD (past)
• Counseling Center of Southeast Idaho

  • Public Health or Welfare Agency
  • Idaho Falls, ID
  • NPI 1639116627
  NPD (past)
• Kayne Kishiyama MD PA

  • Psychiatry Physician
  • Idaho Falls, ID
  • NPI 1457518110
  NPD (past)
• Summit Health Professionals

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1649262825

  Psychiatry

  NPD (past)
• Medical Psychotherapy PC

  • Psychiatry Physician
  • Jackson, WY
  • NPI 1417904095
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1699718619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 MIDWAY AVE",
            "address_2": "SUITE 2",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064587",
            "telephone_number": "208-552-0920",
            "fax_number": "208-529-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 MIDWAY AVE",
            "address_2": "SUITE 2",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064587",
            "telephone_number": "208-552-0920",
            "fax_number": "208-529-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEW",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-8429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806207200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adam L Nickell, LCSW
• Jessica Nickerson, LCSW
• Daniel Glenn Nielson, OD
• Michelle Norman, NP
• Devin Taylor Norton

• Psychiatry Physician in Ammon, ID
• Providers in Ammon, ID by specialty
• Psychiatry Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.