Frederick William Risard

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

79759 Issued in CA

Practice address

9829 Blue Larkspur LN
Monterey, CA 93940-6535

Phone

(209) 658-9832

NPI assigned

Oct 13, 2010

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellspring Psychological Services IncGroup PAC ID 2961763784, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Wellspring Psychological Services, Inc.

  • Counseling Psychologist
  • Monterey, CA
  • NPI 1336680495
  Medicare reassignment Care Compare group
• Turning Point Community Programs

  • Case Management Agency
  • Merced, CA
  • NPI 1154550846
  NPD (past)
• Uhs BH Telepsych FL, PLLC

  • Psychiatry Physician
  • Ponte Vedra Beach, FL
  • NPI 1790453033

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1912217837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 3RD AVE",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939334529",
            "telephone_number": "209-658-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 BLUE LARKSPUR LN",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406535",
            "telephone_number": "209-658-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISARD",
        "first_name": "FREDERICK",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "76759",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Louise Riker, OTR/L
• Jenna Leigh Riley, PT, DPT
• Rineekmd LLC
• Michol M. Rios
• Ripple Physical Therapy (Terrapin Physical Therapy INC)
• Gennarina Leila Riso, DO
• Anthony Frank Rispoli, LCSW 87910
• Mallory Renee Rivera, NP
• Mia Maria Rivera
• Juanita Dianna Rizo

• Clinical Social Worker in Monterey, CA
• Providers in Monterey, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.