Provider Demographics
NPI:1124318910
Name:RICHARDSON PSYCHIATRIC ASSOCIATES,PC
Entity type:Organization
Organization Name:RICHARDSON PSYCHIATRIC ASSOCIATES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRISH
Authorized Official - Middle Name:A
Authorized Official - Last Name:RENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-657-1881
Mailing Address - Street 1:11 SHENANGO RD STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1177
Mailing Address - Country:US
Mailing Address - Phone:724-657-1881
Mailing Address - Fax:724-657-9178
Practice Address - Street 1:11 SHENANGO RD STE 1
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1177
Practice Address - Country:US
Practice Address - Phone:724-657-1881
Practice Address - Fax:724-657-9178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW012208101YA0400X
PACW015888101YM0800X
PASW127721101YM0800X
PACW014970101YM0800X
PARN285726L101YM0800X
PACW014276106H00000X
PAMD045410E101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty