Provider Demographics
NPI:1578790945
Name:STEPHANIE S. RICHARDS, MD LLC
Entity Type:Organization
Organization Name:STEPHANIE S. RICHARDS, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-358-8666
Mailing Address - Street 1:105 BRAUNLICH DR
Mailing Address - Street 2:MCKNIGHT PLAZA, SUITE 480
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3348
Mailing Address - Country:US
Mailing Address - Phone:412-358-8666
Mailing Address - Fax:412-358-8684
Practice Address - Street 1:105 BRAUNLICH DR
Practice Address - Street 2:MCKNIGHT PLAZA, SUITE 480
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3348
Practice Address - Country:US
Practice Address - Phone:412-358-8666
Practice Address - Fax:412-358-8684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056113L261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
720924Medicare PIN
G43410Medicare UPIN