Organization Active NPI

Lawrence J. Richmond II

  • Clinical Psychologist
  • Beckley, WV
National Provider Identifier
1962722538
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
965 Issued in WV
Legal business name
LAWRENCE J. RICHMOND II
Doing business as
Laurel Mountain
Practice address
502 Johnstown Rd
Beckley, WV 25801-4818
Phone
(304) 952-1193
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Mr. Lawrence Jimmie Richmond II, LICENSEDPSYCHOLOGISTNPI 1770732976
Title
Owner
Phone
(304) 952-1193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 965 WV Primary

Addresses

Primary practice location

502 Johnstown Rd
Beckley, WV 25801-4818

Mailing address

502 Johnstown Rd
Beckley, WV 25801-4818
Phone (304) 952-1193

Other names 1

  • Laurel Mountain Doing business as

National Provider Directory

National Provider Directory

Locations

502 Johnstown Rd
Beckley, WV 25801
Phone (304) 250-0123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1962722538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 JOHNSTOWN RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014818",
            "telephone_number": "304-952-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 JOHNSTOWN RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014818",
            "telephone_number": "304-952-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J. RICHMOND II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JIMMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-952-1193",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LICENSEDPSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.