Individual provider Active NPI

Nancy McLaughlin Richmond, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marina del Rey, CA
National Provider Identifier
1770524761
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15292 Issued in CA
Practice address
4750 Lincoln Blvd
Apt 470
Marina del Rey, CA 90292-6900
Phone
(949) 307-4684
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 2123 CA
Nurse Practitioner 363L00000X 15292 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15292 CA Primary

Addresses

Primary practice location

4750 Lincoln Blvd
Apt 470
Marina del Rey, CA 90292-6900

Mailing address

4750 Lincoln Blvd
Apt 470
Marina del Rey, CA 90292-6900
Phone (949) 307-4684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026001200 CA Practitioner - Nurse Practitioner 4587625173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exodus Recovery IncGroup PAC ID 2668467341, 16 clinicians

Practice addresses (Care Compare)

923 S Catalina Ave
Redondo Beach, CA 90277-4718
Phone (310) 792-5454

9808 Venice Blvd
Culver City, CA 90232-6824
Phone (310) 945-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exodus Recovery, Inc. CurrentSince Nov 4, 2012 Accepting new patients
Exodus Recovery, Inc. CurrentSince Nov 4, 2012 Accepting new patients
Exodus Recovery Inc Current Accepting new patients

Locations

9808 Venice Blvd
Ste 700
Culver City, CA 90232
Phone (310) 253-9494

4308 30th St
San Diego, CA 92104

Organizations & group practices 3

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1770524761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 LINCOLN BLVD",
            "address_2": "APT 470",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926900",
            "telephone_number": "949-307-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 LINCOLN BLVD",
            "address_2": "APT 470",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926900",
            "telephone_number": "949-307-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "NANCY",
        "middle_name": "MCLAUGHLIN",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2123",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "15292",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "15292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.