Deryck D. Richardson, Ph.D. Llc
LBN: Deryck D. Richardson, Ph.D. Llc
Deryck D. Richardson, Ph.D. Llc is an health care organization with primary practice located at 1425 E Dublin Granville Rd Suite 204, Columbus OH 43229-3325. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Deryck D. Richardson, Ph.D. Llc can be contacted via phone (614) 888-5255, or through Richardson, Deryck D'Arcy via phone (614) 888-5255.
Contact Information
Primary practice address
1425 E Dublin Granville Rd Suite 204
Columbus OH 43229-3325
Phone: (614) 888-5255
Fax: (614) 888-2306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 2950 | Ohio |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 2950 | Ohio |
Profile Details
| NPI number | 1629340914 |
|---|---|
| LBN Legal business name | Deryck D. Richardson, Ph.D. Llc |
| DBA Doing business as | |
| Authorized official | Richardson, Deryck D'Arcy PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2012 |
| Last updated | Feb 1st, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629340914 | NPPES |
| Ohio | MEDICAID | 0453389 |
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