Richard Kornblath PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RICHARD KORNBLATH PHD PA

Practice address

400 SW Boca Raton Blvd
#101
Boca Raton, FL 33432-5991

Phone

(561) 368-8512

Fax

(561) 395-8332

NPI assigned

Jun 8, 2011

Last updated

Jun 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Kornblath, PH.D.NPI 1225046659

Title

Sole Owner

Phone

(561) 368-8512

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Kornblath, PHD

  • Psychologist
  • Boca Raton, FL
  • NPI 1225046659
  Authorized official Same address or phone
• Eileen Monson, PHD

  • Psychologist
  • Boca Raton, FL
  • NPI 1134152655
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1841584729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW BOCA RATON BLVD",
            "address_2": "#101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325991",
            "telephone_number": "561-368-8512",
            "fax_number": "561-395-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW BOCA RATON BLVD",
            "address_2": "#101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325991",
            "telephone_number": "561-368-8512",
            "fax_number": "561-395-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD KORNBLATH PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "KORNBLATH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "561-368-8512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard a Levine MD Facp PA
• Richard D Kimmel DO FCCP PA
• Richard I. Lipman D.D.S., P. a.
• Richard J Gerstein M D P a
• Richard K. Lohmann, M.D., P.a. (West Boca Sports Medicine)
• Richard Nettboy DPM & Martin H Shank DPM PA (Boca Deerfield Podiatry Associates)
• Richard R Golden MD PA
• Richard Rosen Chiropractic PA (Boca Spine and Sport)
• Richard S Faulk MD PA
• Richard S Klein DC PA

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.