Richard Robert Born, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY001283 Issued in GA

Practice address

1 Huntington Rd
#205
Athens, GA 30606-7204

Phone

(706) 543-7605

Fax

(706) 543-2397

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard Born, PH.D. LLC

  • Psychologist
  • Athens, GA
  • NPI 1225221492
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1902895089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "#205",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-543-7605",
            "fax_number": "706-543-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "#205",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-543-7605",
            "fax_number": "706-543-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "RICHARD",
        "middle_name": "ROBERT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY001283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Book, PT
• Jill Booms, RN
• Elizabeth Ann Boone, CSTFA
• Jennifer Ross Boone, LCSW
• Carson Lee Booth
• Boss Lady Swag LLC
• Emily Boss
• Sandrine M Bosshardt, PH.D.
• Christopher R. Bostdorff, MD
• Nathan Patrick Bosway, NCC

• Counseling Psychologist in Athens, GA
• Providers in Athens, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.