Richard Demo Jr., RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

530696 Issued in NY

Practice address

109 Ford St
Ogdensburg, NY 13669-1419

Phone

(315) 394-0101

NPI assigned

Jun 10, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1952714602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FORD ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691419",
            "telephone_number": "315-394-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FORD ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691419",
            "telephone_number": "315-394-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMO",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "530696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Dean, RN
• Seth G Decosse, RN
• Kendra Delorme, RN
• Jason Cross Demers, PHARM.D.
• Kim Murphy Demers
• Danielle Denoncourt
• Jennifer C Denoncourt
• Alycia Marie Dezell, OTR/L
• Diagnostic Pathology Consultant PLLC
• Robert Joseph Digiacco, DO

• Adult Psychiatric/Mental Health Registered Nurse in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.