Active NPIIndividual provider

Mr. Clifton Richardson III, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Mays Landing, New Jersey

NPI Number1164061339
Practice location
5060 Atlantic Ave, Mays Landing, NJ 08330-2022
Fax
—
Last updated
March 15, 2024

Clifton Richardson is a Nurse Practitioner, Psych/Mental Health based in Mays Landing, NJ. Clifton Richardson practices in Mays Landing, NJ and has the professional credentials of PMHNP-BC. The NPI Number for Clifton Richardson is 1164061339 and holds a License No. 26NJ00982400 (NJ). The current practice location address for Clifton Richardson is 5060 Atlantic Ave, Mays Landing, NJ 08330-2022 and can be reached out via phone at 609-625-4090.

Provider Profile Details

NPI Number
1164061339
Provider Name
Clifton Richardson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
5060 Atlantic Ave, Mays Landing, NJ 08330-2022
Phone Number
609-625-4090
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
January 5, 2020
Last Update Date
March 15, 2024
Certification Date
March 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
5060 Atlantic Ave
Mays Landing, NJ 08330-2022
Zip
08330-2022
Phone Number
609-625-4090
Mays Landing, NJ 08330Get directions →

Provider Business Mailing Address Details

Address
320 Lower Landing RD
Blackwood, NJ 08012-5118
City
Blackwood
State
NJ
Zip
08012-5118
Phone Number
856-341-8989

License Information

License Number
26NJ00982400
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Clifton Richardson III, PMHNP-BC?

The NPI number of Mr. Clifton Richardson III, PMHNP-BC is 1164061339. It was assigned on January 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Clifton Richardson III, PMHNP-BC?

Mr. Clifton Richardson III, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00982400.

Where does Mr. Clifton Richardson III, PMHNP-BC practice?

The practice location is 5060 Atlantic Ave, Mays Landing, NJ 08330-2022. The office can be reached at 609-625-4090 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164061339 directly on the NPPES registry website.

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