Individual provider Active NPI

Richard F Liotta, PH.D.

  • Clinical Psychologist
  • Saranac Lake, NY
National Provider Identifier
1912062191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010490 Issued in NY
Practice address
88 Woodruff St
Saranac Lake, NY 12983-1713
Phone
(518) 891-0924
Fax
(518) 327-3092
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 010490 NY Primary

Addresses

Primary practice location

88 Woodruff St
Saranac Lake, NY 12983-1713

Mailing address

PO Box 229
703 County Rte 60
Rainbow Lake, NY 12976-0229
Phone (518) 327-3702

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 Philosophy

State licenses

LicenseStateTypeSpecialty
010490NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Advocates, Inc PastSince Nov 13, 2017 Accepting new patients
Adirondack Social Work Services PC PastSince Jan 1, 1998 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912062191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "address_2": "703 COUNTY RTE 60",
            "city": "RAINBOW LAKE",
            "state": "NY",
            "postal_code": "129760229",
            "telephone_number": "518-327-3702",
            "fax_number": "518-327-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 WOODRUFF ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831713",
            "telephone_number": "518-891-0924",
            "fax_number": "518-327-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIOTTA",
        "first_name": "RICHARD",
        "middle_name": "F",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.