Active NPI
Elizabeth R. Richman, PH.D.
- Psychologist
- Ardmore, PA
National Provider Identifier
1871710301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS003186-L
- Practice address
- 133 Coulter Ave
Suite 1
Ardmore, PA 19003 - Phone
- (610) 896-8666
- Fax
- (610) 896-8665
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS003186-L | PA | |
| Psychologist | 103T00000X | PS003186-L | Primary |
Addresses
Primary practice location
133 Coulter Ave
Suite 1
Ardmore, PA 19003
Mailing address
2401 Pennsylvania Ave
#21 C 45
Philadelphia, PA 19130
Phone (267) 319-1139
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS003186-L | PA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1871710301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 PENNSYLVANIA AVE",
"address_2": "#21 C 45",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19130",
"telephone_number": "267-319-1139",
"fax_number": "215-247-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 COULTER AVE",
"address_2": "SUITE 1",
"city": "ARDMORE",
"state": "PA",
"postal_code": "19003",
"telephone_number": "610-896-8666",
"fax_number": "610-896-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMAN",
"first_name": "ELIZABETH",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS003186-L",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": "PS003186-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, PA
Sources for this page
- 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.