Provider Demographics
NPI:1841266376
Name:RICHMAN, JANET LEE (EDD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:LEE
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 MILTON DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216
Mailing Address - Country:US
Mailing Address - Phone:615-262-3670
Mailing Address - Fax:
Practice Address - Street 1:2021 21ST AVE S
Practice Address - Street 2:SUITE 426
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4342
Practice Address - Country:US
Practice Address - Phone:615-228-7599
Practice Address - Fax:615-298-2335
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1940103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3687036Medicaid
1008215OtherCIGNA BEHAVIORAL HEALTH
5939058OtherAETNA
TN4028121OtherBLUE CROSS BLUE SHIELD
TN264412OtherVALUE OPTIONS
41282OtherUNITED BEHAVIORAL HEALTH
TNOR454OtherEMPIRE BCBS
5939058OtherAETNA