Chanelle Richards, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017079 Issued in NY

Practice address

8 Termakay Dr
New City, NY 10956-6434

Phone

(718) 541-6453

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Integrative Psychological Professional Service, PLLC

  • Clinical Psychologist
  • New City, NY
  • NPI 1124762455
  NPD Authorized official
• Psychological Evaluation and Testing Services, LLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1760609663

  Clinical Neuropsychologist

  NPD (past) Authorized official
• Advanced Medical Associates of Westchester, PC

  • Legal Medicine
  • Yonkers, NY
  • NPI 1619101581
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1992922801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TERMAKAY DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566434",
            "telephone_number": "718-541-6453",
            "fax_number": "888-959-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TERMAKAY DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566434",
            "telephone_number": "718-541-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "CHANELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "017079",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017079",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "017079",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "017079",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sirena Ribeiro
• Stephanie Riccardi
• Maureen Ricciardi, MD
• Ronnit Malka Rich, M.A. CCC-SLP
• Richard P Herman DDS PC
• Gerard M Riconda
• Chrystal Elise Rijos
• Patricia Debra Riley Tesi
• Laura Ann Rime, IBCLC, CLC
• Michele Denise Rinaldi

• Clinical Psychologist in New City, NY
• Providers in New City, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.