Individual provider Active NPI

Richard A. Schere, PH.D.

  • Clinical Child & Adolescent Psychologist
  • La Jolla, CA
National Provider Identifier
1851575948
Registry record updated Dec 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
18755 Issued in CA
Practice address
7825 Fay Ave
La Jolla, CA 92037-4252
Phone
(858) 456-4445
NPI assigned
Dec 25, 2007
Last updated
Dec 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 18755 CA
Clinical Child & Adolescent Psychologist 103TC2200X 18755 CA Primary
Family Psychologist 103TF0000X 18755 CA

Addresses

Primary practice location

7825 Fay Ave
La Jolla, CA 92037-4252

Mailing address

1001 Genter St Unit 7a
La Jolla, CA 92037-5526
Phone (858) 456-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
18755CAMDClinical Psychologist
004519NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1198540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198540800000",
    "number": "1851575948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GENTER ST UNIT 7A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375526",
            "telephone_number": "858-456-5545",
            "fax_number": "858-729-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374252",
            "telephone_number": "858-456-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERE",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-25",
        "last_updated": "2007-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "18755",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "18755",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "18755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2007; 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.