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MR. RICHARD JAY HIGGINS JR. PSY.D.
NPI 1154435931
Psychologist - Clinical in East Chatham, NY

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
694 COUNTY ROUTE 5, EAST CHATHAM, NY 12060(518) 605-2223 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Richard Jay Higgins Jr. Psy.d. NPPES

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

MR. RICHARD JAY HIGGINS JR. PSY.D. (NPI 1154435931) is an individual clinical provider in East Chatham, New York, licensed in New York (014615) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1154435931
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. RICHARD JAY HIGGINS JR.Credential: PSY.D.
Location Address694 COUNTY ROUTE 5East Chatham, NY 12060-2822
Mailing Address694 County Route 5East Chatham, NY 12060-2822 · (518) 392-5033
Phone(518) 605-2223
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 18, 2006
Last NPPES UpdateJanuary 4, 2008
✔ NPI 1154435931 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 NY · 014615
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.
694 COUNTY ROUTE 5, East Chatham, NY 12060
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Other Identifiers 1

Medicare ID-Type UnspecifiedVL4491NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Richard Jay Higgins Jr. Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022085695
PECOS Enrollment IDI20040913001409
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 Reassignments

2

Medicare enrollment records show Richard Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Senior Care Therapy Psychology Of New York PLLC
114 mi
Clinical
14415 68TH RD
Flushing, NY 11367
  • Reassigned Medicare billing, New York enrollment
  • 30 clinicians in this Medicare group
NPI 1437628203 (973) 264-0023
Grow Healthcare Group PA
1,205 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 12060 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
$187.05 typical visit price
range $61.88 – $187.05
Typical copayment $46.76 (range $15.47 – $46.76)
Most-billed visit code 99205
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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 Richard Higgins's NPI number?

The NPI number for Richard Higgins is 1154435931. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Richard Higgins located?

Richard Higgins practices at 694 County Route 5, East Chatham, NY 12060. The listed phone number is (518) 605-2223.

What is Richard Higgins's specialty?

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

Is Richard Higgins enrolled in Medicare?

Yes. Richard Higgins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Richard Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Higgins reassigns Medicare benefits to 2 organizations: Senior Care Therapy Psychology Of New York PLLC (Flushing, NY) and Grow Healthcare Group PA (Miami, FL). Each 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 Richard Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Higgins accept?

Health plans from Oscar Health list Richard Higgins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Higgins was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.