Provider Demographics
NPI:1427528488
Name:PERCIFIELD, RICHARD (CMHC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:PERCIFIELD
Suffix:
Gender:
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 N 50 E UNIT D
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-1243
Mailing Address - Country:US
Mailing Address - Phone:307-707-1713
Mailing Address - Fax:
Practice Address - Street 1:2730 N 50 E UNIT D
Practice Address - Street 2:
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-1243
Practice Address - Country:US
Practice Address - Phone:307-707-1713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12730798-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health