Janel M Riddle, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003774 Issued in GA

Practice address

1 Pinckney Blvd
Box 6266a
Beaufort, SC 29902-6122

Phone

(843) 228-5599

Fax

(843) 228-5682

NPI assigned

Sep 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1861640583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BOULEVARD",
            "address_2": "BOX 6266A",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299020000",
            "telephone_number": "843-228-5599",
            "fax_number": "843-228-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "address_2": "BOX 6266A",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026122",
            "telephone_number": "843-228-5599",
            "fax_number": "843-228-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "JANEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey E. Richardson, M.S., OTR/L
• Claudia Ann Rickenbaker, PTA
• Emily Rickenbaker, FNP-C
• Angela Mae Riddle, APRN
• Haille Ann Riddle, APRN
• Felix Rijos, MPT
• Elizabeth A Riley, M.D.
• Rebekah Riley, PH.D.
• Daniel C Ripley, MD
• Cathryn L. Ritchie, CRNA

• Clinical Psychologist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.