Jennifer Richardson PSYD, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10020 Issued in FL

Legal business name

JENNIFER RICHARDSON PSYD, PA

Practice address

20747 Sterlington Dr
Land O Lakes, FL 34638-4317

Phone

(813) 907-9191

Fax

(813) 948-0094

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Anne Richardson, PSYDNPI 1164638896

Title

President

Phone

(727) 688-5756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Jennifer Anne Richardson, PSY.D.

  • Clinical Psychologist
  • Land O Lakes, FL
  • NPI 1164638896
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1992285936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384317",
            "telephone_number": "727-688-5756",
            "fax_number": "813-948-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384317",
            "telephone_number": "813-907-9191",
            "fax_number": "813-948-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER RICHARDSON PSYD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-688-5756",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Sellers, D.C., P.a.
• Jeanne Sellers, D.C., P.a.
• Debra C Jeffries, MD
• Leahann Michelle Jenkins, RBT
• Rachel Jenkins
• Jeremy Schmitt
• Marleina Jimenez, RBT
• Samantha Lynn Johnson, ARNP
• Jeffrey Alan Jones, CSFA
• Joseph N Grimaudo DMD PL

• Clinical Psychologist in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.