Richardson Psychiatric

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

RICHARDSON PSYCHIATRIC

Practice address

3660 N Lake Shore Dr Ste 201
Chicago, IL 60613-5302

Phone

(773) 599-9246

NPI assigned

Jan 29, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Andrew D Richardson, DNP

Title

Nurse Practitioner

Phone

(773) 732-6427

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1982168407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S EAST END AVE APT 8B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153173",
            "telephone_number": "773-732-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 N LAKE SHORE DR STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135302",
            "telephone_number": "773-599-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON PSYCHIATRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "773-732-6427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1144639527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1144639527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1144639527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Richards, PT, DPT
• Ken R Richards
• Mary Richards
• Maryse H Richards, PH.D.
• Meredith Richards, PA-C
• Sabrina Richardson-Hankins, RN
• Aida Ibricevic Richardson, M.D.
• Alexander Richardson
• Alicia Richardson, LCPC
• Allison Richardson, OTD, OTR/L

• Primary Care Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.