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DR. ADEYA RICHMOND PHD, LP
NPI 1013295526
Psychologist - Clinical in St Louis Park, MN

Active since August 01, 2011PECOS Enrolled
5353 GAMBLE DR STE 395, ST LOUIS PARK, MN 55416(612) 524-8763 Get Directions Write a Review

NPPES record last updated: December 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Adeya Richmond Phd, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADEYA RICHMOND PHD, LP (NPI 1013295526) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (5455) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013295526
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ADEYA RICHMONDCredential: PHD, LP
Location Address5353 GAMBLE DR STE 395St Louis Park, MN 55416-1510
Mailing Address5353 Gamble Dr Ste 395St Louis Park, MN 55416-1510 · (612) 524-8763
Phone(612) 524-8763
Sole ProprietorNo
Enumeration DateAugust 1, 2011
Last NPPES UpdateDecember 27, 2017
✔ NPI 1013295526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · 5455
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5353 GAMBLE DR STE 395, St Louis Park, MN 55416
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adeya Richmond Phd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Adeya Richmond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richmond Psychological Services, LLC
Same address
Psychologist
5353 GAMBLE DR STE 395
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1639671530 (612) 524-8763

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAN TYSON ROBERTS PH.D.
Psychologist (Clinical)
5353 GAMBLE DR STE 395
ST LOUIS PARK, MN 55416
Hennepin County (612) 367-7103
ASPEN PSYCHOLOGICAL CONSULTING, LLC
Clinic/Center (Adult Mental Health)
5353 GAMBLE DR STE 395
ST LOUIS PARK, MN 55416
Hennepin County (612) 367-7103
MS. MARY ELIZABETH GROSSCUP MA LP
Psychologist
5353 GAMBLE DR STE 395
ST LOUIS PARK, MN 55416
Hennepin County (952) 259-1351
RICHMOND PSYCHOLOGICAL SERVICES, LLC
Psychologist
5353 GAMBLE DR STE 395
ST LOUIS PARK, MN 55416
Hennepin County (612) 524-8763
MWEYA STRENGTH LLC
Community/Behavioral Health
5353 GAMBLE DR STE 395
ST LOUIS PARK, MN 55416
Hennepin County (612) 441-5072
STACEY SOLAKIAN PH.D.
Psychologist
5353 GAMBLE DR STE 395
ST LOUIS PARK, MN 55416
Hennepin County (612) 213-0001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adeya Richmond's NPI number?

The NPI number for Adeya Richmond is 1013295526. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Adeya Richmond located?

Adeya Richmond practices at 5353 Gamble Dr Ste 395, St Louis Park, MN 55416. The listed phone number is (612) 524-8763.

What is Adeya Richmond's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Adeya Richmond enrolled in Medicare?

Yes. Adeya Richmond is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adeya Richmond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adeya Richmond reassigns Medicare benefits to Richmond Psychological Services, LLC (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adeya Richmond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adeya Richmond was last updated on December 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.