Active NPI
Radha Richmond
- School Psychologist
- Walnut Creek, CA
National Provider Identifier
1861234460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3249
- Practice address
- 1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314 - Phone
- (510) 592-4419
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3249 | CA | Primary |
Addresses
Primary practice location
1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314
Mailing address
1923 Tioga Loop
Hercules, CA 94547-2794
Phone (510) 949-6222
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1861234460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 TIOGA LOOP",
"city": "HERCULES",
"state": "CA",
"postal_code": "945472794",
"telephone_number": "510-949-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 MARIA LN STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965314",
"telephone_number": "510-592-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "RADHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "3249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.