Carol Lacey Richardson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35034 Issued in TX

Practice address

4316 Lake Stone TRL
Fort Worth, TX 76123-8009

Phone

(817) 542-2595

NPI assigned

Mar 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• CPST Healthcare, LLC

  • Psychologist
  • Fort Worth, TX
  • NPI 1467211862
  Medicare reassignment NPD
• Michelle Rinella, PSYD, PA

  • Psychologist
  • Plano, TX
  • NPI 1427448695
  Medicare reassignment NPD
• Center for Psychological Services, PLLC

  • Psychologist
  • Arlington, TX
  • NPI 1447501259
  Medicare reassignment

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1780950436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 LAKE STONE TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761238009",
            "telephone_number": "817-542-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 LAKE STONE TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761238009",
            "telephone_number": "817-542-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CAROL",
        "middle_name": "LACEY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "35034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tramell Richards
• Richardson Dermatology, PLLC
• Abby Richardson, CRNA
• Amy Lynn Richardson, MD
• Ariel Richardson
• Deidre Richardson, AGACNP-BC
• Desi Rae Richardson, LPC
• Janice Renea Richardson, AGNP
• Jessica Laine Richardson
• Kenneth W. Richardson, CRNA

• Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.