Deena S. Richman PHD PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DEENA S. RICHMAN PHD PA

Practice address

2970 Hartley Rd
Ste 201
Jacksonville, FL 32257-6245

Phone

(904) 268-7733

Fax

(904) 292-1094

NPI assigned

Nov 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Deena S Richman, PHD

Title

Owner/Psychologist

Phone

(904) 268-7733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1851678148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 HARTLEY RD",
            "address_2": "STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576245",
            "telephone_number": "904-268-7733",
            "fax_number": "904-292-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HARTLEY RD",
            "address_2": "STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576245",
            "telephone_number": "904-268-7733",
            "fax_number": "904-292-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEENA S. RICHMAN PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-268-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.