Sammy Richman, PHD, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY12220 Issued in FL

Practice address

8895 N Military TRL Ste 202B
West Palm Beach, FL 33410-6284

Phone

(917) 855-2799

Fax

(561) 828-9305

NPI assigned

Mar 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Ellie PBC LLC

  • Mental Health Counselor
  • Lake Worth, FL
  • NPI 1942081872
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1821673328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 202B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106284",
            "telephone_number": "917-855-2799",
            "fax_number": "561-828-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 202B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106284",
            "telephone_number": "917-855-2799",
            "fax_number": "561-828-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Greenough Rd",
            "address_purpose": "LOCATION",
            "city": "Plaistow",
            "state": "NH",
            "postal_code": "038652724",
            "country_code": "US",
            "telephone_number": "603-382-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "SAMMY",
        "credential": "PHD, LCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013661",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1649",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cetoria Richards
• Emilie Richards
• Kimberly S Richardson, B.A
• Nicole N Richardson, FNP-C
• Jamie-Lyn Richartz
• Jessica L Richtmyre, DC
• Yvonne Barbara Ricketts
• Lisa Sue Rico, MSW
• Bridgette M Riddell
• Jaselyn Riden

• Clinical Psychologist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.