Active NPI
Richard Stuart Mach, PH.D. LP
- Clinical Psychologist
- Flint, MI
National Provider Identifier
1891973053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005917
- Practice address
- 814 S Vernon Ave
Flint, MI 48503-2254 - Phone
- (810) 235-0969
- NPI assigned
- Feb 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 005917 | MI | Primary |
Addresses
Primary practice location
814 S Vernon Ave
Flint, MI 48503-2254
Mailing address
814 S Vernon Ave
Flint, MI 48503-2254
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005917 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202515200000",
"number": "1891973053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 S VERNON AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485032254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 S VERNON AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485032254",
"telephone_number": "810-235-0969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACH",
"first_name": "RICHARD",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "PH.D. LP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-09",
"last_updated": "2008-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "005917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.