Active NPI
James A Richter, M.D.
- Psychiatry Physician
- Winnebago, WI
National Provider Identifier
1871653626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30531
- Practice address
- 1300 South Dr.
Winnebago, WI 54985-0009 - Phone
- (920) 235-4910
- Fax
- (920) 236-2931
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30531 | WI | Primary |
Addresses
Primary practice location
1300 South Dr.
Winnebago, WI 54985-0009
Mailing address
1300 South Dr.
Winnebago, WI 54985-0009
Phone (920) 235-4910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31751700 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30531 | WI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1871653626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 SOUTH DR.",
"city": "WINNEBAGO",
"state": "WI",
"postal_code": "549850009",
"telephone_number": "920-235-4910",
"fax_number": "920-236-2931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SOUTH DR.",
"city": "WINNEBAGO",
"state": "WI",
"postal_code": "549850009",
"telephone_number": "920-235-4910",
"fax_number": "920-236-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "JAMES",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "30531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31751700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winnebago, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.