Richard T Elmore Jr PHD PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY3228 Issued in FL

Legal business name

RICHARD T ELMORE JR PHD PA

Practice address

100 Rialto PL
Suite 754
Melbourne, FL 32901-3055

Phone

(321) 728-9620

Fax

(321) 951-1928

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard Turner Elmore Jr., PHDNPI 1740214766

Title

Proprietor

Phone

(321) 728-9620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard T Elmore Jr., PHD

  • Psychologist
  • Melbourne, FL
  • NPI 1740214766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1700116274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIALTO PL",
            "address_2": "SUITE 754",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013055",
            "telephone_number": "321-728-9620",
            "fax_number": "321-951-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIALTO PL",
            "address_2": "SUITE 754",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013055",
            "telephone_number": "321-728-9620",
            "fax_number": "321-951-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD T ELMORE JR PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "321-728-9620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Andrew Ricardo
• Kenneth Coleman Rice, PA
• Leah Dawn Rice, PA
• Patricia Rich, MS.BCBA
• Richard S Rogers DC Chartered
• Richard Wilson Leong Jr DDS PA
• Ceirra Richard
• Lauren-Danielle Richard, OTA
• Kelly Elizabeth Richards, LCSW
• Victoria Richards, BCABA

• Psychologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.